Individual provider Active NPI

Emily Gaye Lindner, M.D.

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1023176187
Registry record updated Jan 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036069822 Issued in IL
Practice address
1136 W Diversey Pkwy Unit Store
Chicago, IL 60614-2676
Phone
(312) 953-1636
Fax
(773) 685-7812
NPI assigned
Dec 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036069822 IL Primary

Addresses

Primary practice location

1136 W Diversey Pkwy Unit Store
Chicago, IL 60614-2676

Mailing address

1136 W Diversey Pkwy Unit Store
Chicago, IL 60614-2676
Phone (312) 953-1636

Other identifiers 1

IdentifierTypeStateIssuer
036069822MedicaidIL

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
I20100408000134 IL Practitioner - Internal Medicine 2365578952 Practice locations: Elizabeth, IL

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Michigan State University College of Human Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

399 E Hanover Rd
Elizabeth, IL 61028-9313
Phone (312) 209-7799

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514937600000",
    "number": "1023176187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 W DIVERSEY PKWY UNIT STORE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142676",
            "telephone_number": "312-953-1636",
            "fax_number": "773-685-7812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 W DIVERSEY PKWY UNIT STORE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142676",
            "telephone_number": "312-953-1636",
            "fax_number": "773-685-7812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDNER",
        "first_name": "EMILY",
        "middle_name": "GAYE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2018-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036069822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036069822",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.