Lela Iduna,P.C.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

LELA IDUNA,P.C.

Doing business as

EnLiven Me

Practice address

110 S Johnson St Ste 206
Woodstock, IL 60098-3259

Phone

(815) 355-1605

NPI assigned

Dec 16, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Lela Iduna, MD

Title

Director

Phone

(510) 666-5062

Specialties & licenses 1

Addresses

Other names 1

• EnLiven Me Doing business as

Locations

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544918400000",
    "number": "1073084398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 GERRY ST",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600983614",
            "telephone_number": "510-666-5062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S JOHNSON ST STE 206",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600983259",
            "telephone_number": "815-355-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LELA IDUNA,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A",
        "authorized_official_last_name": "IDUNA",
        "authorized_official_first_name": "LELA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "510-666-5062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EnLiven Me",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Lauterbach
• Morgan Lederman, ATC
• Sang-DO David Lee, D.D.S.
• Clare Legursky, M.D.
• Hannah Lehman
• Leo a. Reyes, M.D.,P.C.
• Anthony Leung, PHARMACIST
• Denene S Lewis, LCPC
• Adrienne J Liebich
• Lifeline Nursing Agency, Inc.

• Clinic/Center in Woodstock, IL
• Providers in Woodstock, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; 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.