OrganizationActive
Surgeons of Lake County LLC
NPI 1417145301 · Surgery Physician · Libertyville, IL
Surgeons of Lake County LLC is a Surgery Physician organization in Libertyville, IL (NPI 1417145301).
Provider details
- NPI number
- 1417145301
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Scott Otto, President(847) 816-7495
- License
- 036109065 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1870 W Winchester Rd
Suite 112
Libertyville, IL 60048-5358
Phone: (847) 816-7495
Fax: (847) 816-7497
Street-level locationGet directions
Mailing address
1870 W Winchester Rd
Libertyville, IL 60048-5358
Registry dates
- Enumerated
- 2007-10-04
- Last updated
- 2009-10-01
Frequently asked questions
- What is Surgeons of Lake County LLC's NPI number?
- Surgeons of Lake County LLC's National Provider Identifier (NPI) is 1417145301, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Surgeons of Lake County LLC?
- Surgeons of Lake County LLC is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Surgeons of Lake County LLC located?
- Surgeons of Lake County LLC's practice location on file with NPPES is 1870 W Winchester Rd, Libertyville, IL 60048-5358.
- What is Surgeons of Lake County LLC's phone number?
- The practice phone number listed in the NPPES registry for Surgeons of Lake County LLC is (847) 816-7495.
- Who is the authorized official for Surgeons of Lake County LLC?
- The authorized official listed on Surgeons of Lake County LLC's NPPES record is Scott Otto, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Surgeons of Lake County LLC's NPI active?
- Yes — Surgeons of Lake County LLC's NPI (1417145301) is active in the NPPES registry as of the last update on 2009-10-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.