Active NPI
Melanie C. Lachman, M.D.
- Pediatrics Physician
- La Grange Highlands, IL
National Provider Identifier
1013174440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036-120961
- Practice address
- 6428 Joliet Rd
La Grange Highlands, IL 60525-4646 - Phone
- (708) 352-4448
- Fax
- (708) 352-1052
- NPI assigned
- May 22, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036-120961 | IL | Primary |
Addresses
Primary practice location
6428 Joliet Rd
La Grange Highlands, IL 60525-4646
Mailing address
6410 Joliet Rd
Countryside, IL 60525-4642
Phone (708) 352-4448
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962419937 | Other | IL | PEDIATRICS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-120961 | IL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Star Pediatrics, P.C. | Pediatrics | Current | Accepting new patients |
Locations
6410 Joliet Rd
Ste 3
Countryside, IL 60525
6410 Joliet Rd
Countryside, IL 60525
Phone (708) 352-4448
Organizations & group practices 1
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": "1211414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710892800000",
"number": "1013174440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6410 JOLIET RD",
"city": "COUNTRYSIDE",
"state": "IL",
"postal_code": "605254642",
"telephone_number": "708-352-4448",
"fax_number": "708-352-1052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6428 JOLIET RD",
"city": "LA GRANGE HIGHLANDS",
"state": "IL",
"postal_code": "605254646",
"telephone_number": "708-352-4448",
"fax_number": "708-352-1052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACHMAN",
"first_name": "MELANIE",
"middle_name": "C.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-22",
"last_updated": "2024-03-20",
"certification_date": "2024-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036-120961",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEDIATRICS",
"identifier": "1962419937",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Grange Highlands, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.