Healthcare Provider Details

I. General information

NPI: 1386736338
Provider Name (Legal Business Name): DAVID G PRESKILL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 N WAUKEGAN RD STE 300
LAKE BLUFF IL
60044-1696
US

IV. Provider business mailing address

123 N WAUKEGAN RD STE 300
LAKE BLUFF IL
60044-1696
US

V. Phone/Fax

Practice location:
  • Phone: 847-362-0100
  • Fax: 847-918-0426
Mailing address:
  • Phone: 847-362-0100
  • Fax: 847-918-0426

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number01099932A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number036081833
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: