Individual provider Active NPI

Lulu Husain, M.D

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1043319130
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036101351 Issued in IL
Practice address
836 W Nelson St
G87
Chicago, IL 60657-9238
Phone
(773) 296-5486
NPI assigned
Sep 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036101351 IL Primary

Addresses

Primary practice location

836 W Nelson St
G87
Chicago, IL 60657-9238

Mailing address

5415 N Sheridan Rd
4206
Chicago, IL 60640-1954
Phone (773) 561-8387

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
I20111115000645 IL Practitioner - Family Practice 7911171640 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care of Illinois PCGroup PAC ID 6002040276, 36 clinicians

Practice addresses (Care Compare)

10137 Grand Ave
Franklin Park, IL 60131-2548
Phone (847) 451-7590

6500 W 65TH St
Chicago, IL 60638-4962
Phone (708) 496-1515

7421 Cass Ave
Darien, IL 60561-3607
Phone (630) 286-5300

8755 S Harlem Ave
Bridgeview, IL 60455-1905
Phone (708) 430-2295

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036101351ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health & Hospitals Corp. CurrentSince Oct 16, 2011 Accepting new patients
American Current Care of Illinois PC CurrentSince Nov 4, 2016 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Oct 16, 2011 Accepting new patients

Locations

8755 S Harlem Ave
Bridgeview, IL 60455
Phone (708) 430-2295

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

135 N Arlington Heights Rd
Buffalo Grove, IL 60089
Phone (847) 215-8866

29373 Network Pl
Chicago, IL 60673

10137 Grand Ave
Franklin Park, IL 60131
Phone (847) 451-7590

Interoperability endpoints

  • Direct secure messaging: lulu.husain.1@20978.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043319130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5415 N SHERIDAN RD",
            "address_2": "4206",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401954",
            "telephone_number": "773-561-8387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 W NELSON ST",
            "address_2": "G87",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606579238",
            "telephone_number": "773-296-5486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSAIN",
        "first_name": "LULU",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036101351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.