Active NPI
Lilijana Rozalyn Santiago
- Counselor
- Lincolnwood, IL
National Provider Identifier
1023856325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 5894
- Practice address
- 7250 N Cicero Ave Ste 220
Lincolnwood, IL 60712-1627 - Phone
- (773) 517-8074
- NPI assigned
- Jul 19, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Psychologist | 103TF0000X | 1234 | IL | |
| School Psychologist | 103TS0200X | 987456A | IL | |
| Counselor | 101Y00000X | 5894 | IL | Primary |
Addresses
Primary practice location
7250 N Cicero Ave Ste 220
Lincolnwood, IL 60712-1627
Mailing address
3333 N Claremont Ave
Chicago, IL 60618-6205
Phone (773) 517-8074
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5894 | IL | MD | Counselor |
| 987456A | IL | MD | School Psychologist |
| 1234 | IL | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721347200000",
"number": "1023856325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 N CLAREMONT AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606186205",
"telephone_number": "773-517-8074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7250 N CICERO AVE STE 220",
"city": "LINCOLNWOOD",
"state": "IL",
"postal_code": "607121627",
"telephone_number": "773-517-8074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIAGO",
"first_name": "LILIJANA",
"middle_name": "ROZALYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-19",
"last_updated": "2024-07-19",
"certification_date": "2024-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "IL",
"license": "1234",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "IL",
"license": "987456A",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "5894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincolnwood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.