NPIMap

Individual provider Active NPI

Laisvyde Smajkic, MD

  • Rheumatology Physician
  • Orland Park, IL
National Provider Identifier
1013943729
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
036-110905 Issued in IL
Practice address
17047 La Grange Rd
Orland Park, IL 60487-7227
Phone
(630) 268-0200
NPI assigned
Jun 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 036-110905 IL Primary

Addresses

Primary practice location

17047 La Grange Rd
Orland Park, IL 60487-7227

Mailing address

17047 La Grange Rd
Orland Park, IL 60487-7227

Other names 1

  • Laisvyde Statkute Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lsmajkic329866@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060720000331 IL Practitioner - RheumatologyPractitioner - Allergy/ImmunologyPractitioner - Internal Medicine 7315950185 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Suburban Medical Group, PLLCGroup PAC ID 5294155818, 31 clinicians
Prime Healthcare Illinois Medical Group LLCGroup PAC ID 5597275685, 278 clinicians

Practice addresses (Care Compare)

1900 Silver Cross Blvd
New Lenox, IL 60451-9509
Phone (815) 300-7106

2233 W Division St
Chicago, IL 60622-8151
Phone (312) 770-2000

7425 Janes Ave
Woodridge, IL 60517-2356
Phone (815) 300-7764

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-110905ILMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Illinois Medical Group LLC CurrentSince Feb 1, 2026 Accepting new patients
Little Company of Mary Affiliated Services Inc CurrentSince Apr 1, 2015 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Apr 20, 2022 Accepting new patients
Advocate Health & Hospitals Corporation CurrentSince Apr 20, 2022 Accepting new patients
Little Company of Mary Affiliated Services Inc Current Accepting new patients
Dupage Medical Group LTD Past Accepting new patients
Health Service Systems, Inc Past Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

2800 W 87th St
Chicago, IL 60652
Phone (312) 423-4200

5145 N California Ave
Chicago, IL 60625
Phone (773) 989-3800

29373 Network Pl
Chicago, IL 60673

333 Madison St
Joliet, IL 60435
Phone (815) 725-7222

12450 S Harlem Ave
Palos Heights, IL 60463
Phone (708) 448-1207

1775 Ballard Rd
Park Ridge, IL 60068
Phone (847) 318-6020

Networks

  • devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806

Interoperability endpoints

  • Direct secure messaging: lsmajkic329866@direct.myadvocateaurora.org

Organizations & group practices 9

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 3

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": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1013943729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17047 LA GRANGE RD",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604877227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17047 LA GRANGE RD",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604877227",
            "telephone_number": "630-268-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMAJKIC",
        "first_name": "LAISVYDE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-24",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IL",
            "license": "036-110905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lsmajkic329866@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "801 N Cass Ave",
            "address_2": "Ste 150",
            "city": "Westmont",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605591162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "801 N Cass Ave",
            "address_2": "Ste 150",
            "city": "Westmont",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605591162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LAISVYDE",
            "last_name": "STATKUTE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.