Organization Active NPI

Dale Liaugminas, M.D. S.C.

  • Specialist
  • Addison, IL
National Provider Identifier
1033368352
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
036057817 Issued in IL
Legal business name
DALE LIAUGMINAS, M.D. S.C.
Practice address
303 W Lake St
#201
Addison, IL 60101-2586
Phone
(630) 628-8450
Fax
(630) 628-8091
NPI assigned
Sep 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

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

Authorized official

Name
Dr. Dale E. Liaugminas, M.D.
Title
Physician
Phone
(630) 628-8450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 036057817 IL Primary

Addresses

Primary practice location

303 W Lake St
#201
Addison, IL 60101-2586

Mailing address

303 W Lake St
#201
Addison, IL 60101-2586
Phone (630) 628-8450

Other identifiers 1

IdentifierTypeStateIssuer
036057817MedicaidIL

National Provider Directory

National Provider Directory

Locations

303 W Lake St
Ste 201
Addison, IL 60101
Phone (630) 628-8450

NPI Registry JSON

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221004800000",
    "number": "1033368352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 W LAKE ST",
            "address_2": "#201",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601012586",
            "telephone_number": "630-628-8450",
            "fax_number": "630-628-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 W LAKE ST",
            "address_2": "#201",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601012586",
            "telephone_number": "630-628-8450",
            "fax_number": "630-628-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALE LIAUGMINAS, M.D. S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-10",
        "last_updated": "2008-09-10",
        "status": "A",
        "authorized_official_last_name": "LIAUGMINAS",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "630-628-8450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036057817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036057817",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.