Active NPI
Lucille Damasauskas, M.D.
- Emergency Medicine Physician
- Buffalo Grove, IL
National Provider Identifier
1013932482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036-061899
- Practice address
- 150 W Half Day Rd
Buffalo Grove, IL 60089-6591 - Phone
- (847) 215-0000
- NPI assigned
- Jul 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 036-061899 | IL | Primary |
| Emergency Medicine Physician | 207P00000X | 25842 | MN |
Addresses
Primary practice location
150 W Half Day Rd
Buffalo Grove, IL 60089-6591
Mailing address
75 Remitt Drive
Lockbox 1218
Chicago, IL 60675-1218
Phone (866) 916-5259
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036061899-1 | Medicaid | IL |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25842 | MN | MD | Clinical Social Worker |
| 036-061899 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BC Missouri Emergency Physicians, LLP | Emergency Medicine | Past | Accepting new patients |
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.
-
- Emergency Medicine Physician
- Sullivan, MO
- NPI 1679598247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275004800000",
"number": "1013932482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 REMITT DRIVE",
"address_2": "LOCKBOX 1218",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606751218",
"telephone_number": "866-916-5259",
"fax_number": "231-922-4030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 W HALF DAY RD",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600896591",
"telephone_number": "847-215-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAMASAUSKAS",
"first_name": "LUCILLE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2010-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036-061899",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MN",
"license": "25842",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036061899-1",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.