Individual provider Active NPI

Kevin D Lindgren, MD

  • Pediatric Allergy/Immunology Physician
  • Oak Park, IL
National Provider Identifier
1003041476
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Allergy/Immunology PhysicianTaxonomy code 2080P0201X
License
036-129957 Issued in IL
Practice address
610 S Maple Ave Ste 5500
Oak Park, IL 60304-2808
Phone
(708) 660-5777
Fax
(708) 660-2330
NPI assigned
May 28, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X 59927 MN
Allergy Physician 207KA0200X 036-129957 IL
Pediatrics Physician 208000000X 125-56138 IL
Pediatric Allergy/Immunology Physician 2080P0201X 036-129957 IL Primary

Addresses

Primary practice location

610 S Maple Ave Ste 5500
Oak Park, IL 60304-2808

Mailing address

610 S Maple Ave Ste 5500
Oak Park, IL 60304-2808
Phone (708) 660-5777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120822000044 IL Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 7012164353 Reassigns benefits to 1 organization
I20151015000535 MN Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 7012164353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Pediatric Medicine
Education
Loyola University of Chicago, Stritch School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Practice addresses (Care Compare)

1625 N Harlem Ave
Chicago, IL 60707-4303

1700 W Van Buren St
Chicago, IL 60612-5500
Phone (312) 563-2875

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
59927MNMDAllergy Physician
125-56138ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rush University Medical Group Allergy CurrentSince Oct 1, 2020 Accepting new patients
Rush University Medical Center CurrentSince Oct 1, 2020 Accepting new patients
St Paul Allergy & Asthma Clinic P.a. Allergy CurrentSince Oct 1, 2015 Accepting new patients

Locations

1625 N Harlem Ave
Chicago, IL 60707
Phone (312) 256-8583

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

1725 W Harrison St
Ste 117
Chicago, IL 60612
Phone (312) 942-6292

75 Remittance Dr
Dept 1611
Chicago, IL 60675

2011 York Rd
Ste 2000A
Oak Brook, IL 60523
Phone (312) 947-7546

610 S Maple Ave
Ste 2700
Oak Park, IL 60304
Phone (312) 563-3282

565 Snelling Ave S
Saint Paul, MN 55116
Phone (651) 698-0386

Networks

  • IL HMO C-SNP
  • devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
  • devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
  • IL PPO Downstate
  • devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806

Interoperability endpoints

  • Direct secure messaging: klindgren12057@direct.rush.rush-health.com
  • FHIR API: https://epicproxy.rush.edu/fhir-prd/api/FHIR/R4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/EJBIAD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1003041476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 S MAPLE AVE STE 5500",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603042808",
            "telephone_number": "708-660-5777",
            "fax_number": "708-660-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 S MAPLE AVE STE 5500",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603042808",
            "telephone_number": "708-660-5777",
            "fax_number": "708-660-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDGREN",
        "first_name": "KEVIN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-28",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "MN",
            "license": "59927",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "IL",
            "license": "036-129957",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "125-56138",
            "primary": false
        },
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "IL",
            "license": "036-129957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

Verify at the official NPI Registry.