KERRIE D FISH
COUNTY OF LAKE

Address: 3010 Grand Ave, Waukegan, IL 60085-2321

KERRIE D FISH (NPI# 1669730198, PAC ID# 0345572855) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.

Physician Overview

Nation Provider ID (NPI) 1669730198
by National Plan and Provider Enumeration System (NPPES)
PECOS Associate Control (PAC) ID 0345572855
by Medicare Provider Enrollment and Chain/Ownership System (PECOS)
Professional Enrollment ID I20191104000746
Last Name FISH
First Name KERRIE
Middle Name D
Gender F
Organization Legal Name COUNTY OF LAKE
Address 3010 Grand Ave
Waukegan
IL 60085-2321
Phone Number
Medical School LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduation Year 2012
Primary Specialty CLINICAL SOCIAL WORKER
Group Practice PAC ID 7214838861
Number of Group Practice Members 40
Professional Accepts Medicare Assignment Y
Group Accepts Medicare Assignment Y

Other Locations

Organization Location Address Phone
3010 Grand Ave, Waukegan, IL 60085-2321 COUNTY OF LAKE
3004 Grand Ave, Waukegan, IL 60085-2321 8473778120 COUNTY OF LAKE

Provider Overview

Nation Provider ID (NPI) 1669730198
by National Plan and Provider Enumeration System (NPPES)
Full Name KERRIE DANIELLE FISH
Other Name KERRIE DANIELLE NACE
Taxonomy Code 101YA0400X
Taxonomy Classification Counselor · Addiction (Substance Use Disorder)
Location 3004 Grand Ave, Waukegan, IL 60085-2321

Organization Information

Organization Legal Name COUNTY OF LAKE

Physicians Physicians in the same organization

Name Specialty Organization Address
Brianne C Brown Nurse Practitioner County of Lake 1819 27th St, Zion, IL 60099-2541
Nagham Al-Bana Family Medicine County of Lake 1840 Greenbay Rd, Highland Park, IL 60035-3110
Lynn L Barnett Psychiatry County of Lake 18698 W Peterson Rd, Libertyville, IL 60048-1052
Leilani Gruezo Luell Nurse Practitioner County of Lake 1911 27th St, Zion, IL 60099-2542
Betsy K Luka Family Medicine County of Lake 2215 14th St, North Chicago, IL 60064-1618
Susan C Lin Psychiatry County of Lake 224 E Clarendon Dr, Round Lake Beach, IL 60073-2006
Kokeela R Rathi Internal Medicine County of Lake 2400 Belvidere Rd, Waukegan, IL 60085-6165
Hargurmukh P Singh Psychiatry County of Lake 3004 Grand Ave, Waukegan, IL 60085-2321
Rajbir Kaur Grewal Family Medicine County of Lake 3010 Grand Ave, Waukegan, IL 60085-2321
Joanna E Caban Psychiatry County of Lake 3012 Grand Ave, Waukegan, IL 60085-2321
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Office Location

Street Address 3010 GRAND AVE
City WAUKEGAN
State IL
Zip Code 60085-2321

Physicians in the same location

Name Specialty Organization Address
Rajbir Kaur Grewal Family Medicine County of Lake 3010 Grand Ave, Waukegan, IL 60085-2321
Andrea L Grosskurth Clinical Social Worker County of Lake 3010 Grand Ave, Waukegan, IL 60085-2321
Jaril F Gallup Clinical Social Worker County of Lake 3010 Grand Ave, Waukegan, IL 60085-2321
Craig Showalter Addiction Medicine County of Lake 3010 Grand Ave, Waukegan, IL 60085-2321
Marina Smirnov Psychiatry County of Lake 3010 Grand Ave, Waukegan, IL 60085-2321
Wendy A Powell Clinical Social Worker County of Lake 3010 Grand Ave, Waukegan, IL 60085-2321
Leslie S Zun Emergency Medicine County of Lake 3010 Grand Ave, Waukegan, IL 60085-2321
Carolyn A Bautista Nurse Practitioner County of Lake 3010 Grand Ave, Waukegan, IL 60085-2321
Michele A Birkey Clinical Social Worker County of Lake 3010 Grand Ave, Waukegan, IL 60085-2321
Christine J Rice Clinical Psychologist County of Lake 3010 Grand Ave, Waukegan, IL 60085-2321
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Physicians in the same zip code

Name Specialty Organization Address
Joanna E Caban Psychiatry County of Lake 3012 Grand Ave, Waukegan, IL 60085-2321
Hargurmukh P Singh Psychiatry County of Lake 3004 Grand Ave, Waukegan, IL 60085-2321

Physicians in the same zip code prefix

Name Specialty Organization Address
Kristoffer D Knapp Physician Assistant Illinois Bone and Joint Institute LLC 1324 N Sheridan, Waukegan, IL 60085-2161
Kathleen Trinh Nurse Practitioner App of Illinois Hm Pllc 1324 N Sheridan Rd, Waukegan, IL 60085-2161
Tzvetan Tochkov Naydenov Family Medicine App of Illinois Hm Pllc 1324 N Sheridan Rd, Waukegan, IL 60085-2161
Prerak Navinchandra Patel Hospitalist App of Illinois Hm Pllc 1324 N Sheridan Rd, Waukegan, IL 60085-2161
Haili Campanella Nurse Practitioner App of Illinois Hm Pllc 1324 N Sheridan Rd, Waukegan, IL 60085-2161
Ernest E Ellison Physician Assistant App of Illinois Hm Pllc 1324 N Sheridan Rd, Waukegan, IL 60085-2161
Asif Anwar Internal Medicine Waukegan Clinic Corp 1324 N Sheridan Rd, Waukegan, IL 60085-2161
Swathi Pabba Internal Medicine App of Illinois Hm Pllc 1324 N Sheridan Rd, Waukegan, IL 60085-2161
Tony V Pallan Family Medicine App of Illinois Hm Pllc 1324 N Sheridan Rd, Waukegan, IL 60085-2161
Grace F Jones Physician Assistant Cardiac Surgery Associates Sc 1324 N Sheridan Rd, Waukegan, IL 60085-2161
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Competitor

Search similar physicians

City WAUKEGAN
Zip Code 60085
Specialty CLINICAL SOCIAL WORKER
City + Specialty WAUKEGAN + CLINICAL SOCIAL WORKER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.