Ann & Robert H. Lurie Children's Hospital of Chicago

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO

Doing business as

Lurie Children's Surgery Center in Northbrook

Practice address

1121 Techny Rd
Northbrook, IL 60062-5503

Phone

(312) 227-4000

NPI assigned

Jul 15, 2018

Organization subpart

Yes

Parent organization

ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGOAs reported in NPPES

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

Authorized official

Name

Alex P Miller

Title

SVP and Chief Financial Officer

Phone

(312) 227-1520

Specialties & licenses 1

Addresses

Other names 1

• Lurie Children's Surgery Center in Northbrook Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Hospital certification: CCN 143300

Legal name

ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO

Doing business as

LURIE CHILDREN'S

Certification status

Active

Provider type (POS)

Hospital – Children’s

Participating since

Feb 18, 1985

Last certification

Aug 11, 2017

Beds

262

Ownership / control type

Private (not for profit)

Organization structure

CorporationNon-profit

Enrollment address

225 E Chicago Ave
Chicago, IL 60611-2991
Main/Primary Hospital Location

Hospital subgroups

Children’s, Other

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Ann & Robert H. Lurie Children's Hospital of Chicago

  • Children's Hospital
  • Chicago, IL
  • NPI 1235234535

  O20080422000775

  Same enrollment

Listed as

Ann & Robert H Lurie Childrens Hospital of ChicagoCCN 143300 · All quality measures

Type

Childrens

Ownership

Voluntary non-profit - Private

Medicare certification status

ActiveFrom the Provider of Services file

Emergency services

Yes

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Ann Robert H Lurie Children's Hospital of Chicago

Locations

Interoperability endpoints

• FHIR API: https://epicmobile.luriechildrens.org/Interconnect-FHIRPRD/api/FHIR/R4/

All disclosed owners & managing parties 48

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Courtney Alan Hardy, MD

  • Pediatric Anesthesiology Physician
  • Chicago, IL
  • NPI 1477562163

  Corporate Officer

  CMS ownership
• Tina Quanbee Tan, MD

  • Pediatric Infectious Diseases Physician
  • Chicago, IL
  • NPI 1407815277

  Corporate Director

  CMS ownership

Affiliated clinicians 38

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Sherif Mohamed Badawy, MD

  • Pediatric Hematology & Oncology Physician
  • Chicago, IL
  • NPI 1821355660

  Hospital

  Care Compare affiliation
• Joshua Baker, D.O.

  • Clinical Genetics (M.D.) Physician
  • Chicago, IL
  • NPI 1134534597

  Hospital

  Care Compare affiliation
• Carlos Cesar Becerril Romero, MD, MS

  • Pediatric Nephrology Physician
  • Chicago, IL
  • NPI 1497243521

  Hospital

  Care Compare affiliation
• Alma R Bicknese, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Chicago, IL
  • NPI 1083622955

  Hospital

  Care Compare affiliation
• Brenda Lynn Bohnsack, M.D., PHD

  • Ophthalmology Physician
  • Chicago, IL
  • NPI 1811199953

  Hospital

  Care Compare affiliation
• Juan Carlos Caicedo Ramirez, MD

  • Transplant Surgery Physician
  • Chicago, IL
  • NPI 1548216435

  Hospital

  Care Compare affiliation
• Michael R Carr, M.D.

  • Pediatric Cardiology Physician
  • Chicago, IL
  • NPI 1285770925

  Hospital

  Care Compare affiliation
• Stephanie Frances Chandler, MD

  • Pediatric Cardiology Physician
  • Chicago, IL
  • NPI 1043535503

  Hospital

  Care Compare affiliation
• Ahmad Sami Chaouki, M.D., PHD

  • Pediatric Cardiology Physician
  • Chicago, IL
  • NPI 1063678852

  Hospital

  Care Compare affiliation
• Joel Martin Charrow, MD

  • Clinical Genetics (M.D.) Physician
  • Chicago, IL
  • NPI 1962466375

  Hospital

  Care Compare affiliation
• Vidhi Dalal, MD

  • Pediatric Nephrology Physician
  • Chicago, IL
  • NPI 1528454642

  Hospital

  Care Compare affiliation
• Roger Andrew De Freitas, M.D.

  • Pediatric Cardiology Physician
  • Chicago, IL
  • NPI 1891893814

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1531612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1013493824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E CHICAGO AVE # 44",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112991",
            "telephone_number": "312-227-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 TECHNY RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600625503",
            "telephone_number": "312-227-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO",
        "enumeration_date": "2018-07-15",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "SVP AND CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "312-227-1520"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lurie Children's Surgery Center in Northbrook",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Marie Anewalt, LCPC
• Joel Angeles
• Patricia Angelopoulos, DDS
• Jessica Angulo
• Grant Michael Anixter, LSW
• Anne Rossen Integrative Psychotherapy and More, LLC
• Hilary Antolak
• Anxiety & Agoraphobia Treatment Center, LTD.
• Susan S Aplington, DT
• Apollo C. Solecki M.D., S.C.

• Ambulatory Surgical Clinic/Center in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Ambulatory Surgical Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.