Individual provider Active NPI

Purchit V Lacuesta, M.D.

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1003887423
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036098775 Issued in IL
Practice address
7400 W Addison St
Chicago, IL 60634-3418
Phone
(773) 625-1900
Fax
(773) 625-5348
NPI assigned
Feb 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036098775 IL Primary

Addresses

Primary practice location

7400 W Addison St
Chicago, IL 60634-3418

Mailing address

7400 W Addison St
Chicago, IL 60634-3418
Phone (773) 625-1900

Other identifiers 1

IdentifierTypeStateIssuer
P00412094OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100727000608 IL Practitioner - Family Practice 5890828958 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036098775ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Journeycare, Inc. Family Medicine CurrentSince Apr 1, 2019 Accepting new patients
Journeycare, Inc Family Medicine Current Accepting new patients
Addison Family Medicine LTD. Family Medicine CurrentSince Aug 25, 2025 Accepting new patients
Marden B Lacuesta MD Inc Family Medicine Past Accepting new patients

Locations

7400 W Addison St
Chicago, IL 60634
Phone (773) 625-1900

2050 Claire Ct
Glenview, IL 60025
Phone (847) 467-7425

405 Lake Zurich Rd
North Barrington, IL 60010
Phone (847) 381-5599

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196035200000",
    "number": "1003887423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 W ADDISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606343418",
            "telephone_number": "773-625-1900",
            "fax_number": "773-625-5348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 W ADDISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606343418",
            "telephone_number": "773-625-1900",
            "fax_number": "773-625-5348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACUESTA",
        "first_name": "PURCHIT",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2007-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036098775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00412094",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.