Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lake County Physical Medicine, SC

Organization Internal Medicine Physician · NPI 1558799924

Lake County Physical Medicine, SC is an Internal Medicine Physician in Grayslake, Illinois. Licensed in Illinois. Registered with an NPI since 2013.

Licensed in
IL
In the registry since
2013
Specialties on file
4

Practice location Address checks out

15 Commerce Dr 108
Grayslake, IL 60030-7807
Phone: (847) 223-3158
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 036.042751 (IL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 036.042751 (IL)
General Practice Physician Taxonomy 208D00000X
Nurse Practitioner Taxonomy 363L00000X · Licence 209-009124 (IL)

Record details

NPI number1558799924
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justin Atkinson — President · (847) 223-3158
NPI enumeratedOctober 23, 2013
Last updated in NPPESFebruary 6, 2014
Mailing address15 Commerce Dr, 108, Grayslake, IL 60030-7807

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