Glen Morton Medical Center, S.C.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

042006744 Issued in IL

Legal business name

GLEN MORTON MEDICAL CENTER, S.C.

Practice address

9129 Waukegan Rd
Morton Grove, IL 60053-2120

Phone

(847) 965-3200

Fax

(847) 965-3270

NPI assigned

Aug 12, 2006

Organization subpart

No

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

Authorized official

Name

Donna M Krueger, R.N., O.C.N.

Title

Practice Manager

Phone

(847) 965-3200

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Lynne Baddi, D.O.

  • Hematology & Oncology Physician
  • Chicago, IL
  • NPI 1780683250
  NPD (past)

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260835200000",
    "number": "1073525754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9129 WAUKEGAN RD",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600532120",
            "telephone_number": "847-965-3200",
            "fax_number": "847-965-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9129 WAUKEGAN RD",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600532120",
            "telephone_number": "847-965-3200",
            "fax_number": "847-965-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN MORTON MEDICAL CENTER, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2009-12-15",
        "status": "A",
        "authorized_official_last_name": "KRUEGER",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "847-965-3200",
        "authorized_official_credential": "R.N., O.C.N."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": "042006744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL CORP.LICENSE",
            "identifier": "042-006744",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "966420",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joan M Giera, ATC
• Natasha Vayner Gigliotti, CCC-SLP
• Alysha Gillani
• Reem I Given, PT
• Thomas Gleason, MD
• Marina Glikina
• Jeffrey Goldstein, MD
• Wayne Goldstein, MD
• Golf Elementary Dist 67
• Neil D Graham, M.D.

• Hematology & Oncology Physician in Morton Grove, IL
• Providers in Morton Grove, IL by specialty
• Hematology & Oncology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.