Organization Active NPI

Lincoln Healthcare Inc

  • Clinical Medical Laboratory
  • Chicago, IL
National Provider Identifier
1083481519
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LINCOLN HEALTHCARE INC
Practice address
3525 W Peterson Ave Ste 506
Chicago, IL 60659-3317
Phone
(312) 468-1491
NPI assigned
Dec 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Authorized official

Name
NFN Abdul Latheef
Title
President
Phone
(312) 468-1491

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

3525 W Peterson Ave Ste 506
Chicago, IL 60659-3317

Mailing address

3525 W Peterson Ave Ste 506
Chicago, IL 60659-3317
Phone (312) 468-1491

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251022002068 IL Part B Supplier - Independent Clinical Laboratory 2860980802 Practice locations: Chicago, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2295396Lincoln Healthcare Inc3525 W Peterson Ave - Ste 506 - Unit C, Chicago, IL 60659Certificate of waiverDec 10, 2027

National Provider Directory

National Provider Directory

Locations

3525 W Peterson Ave
Ste 506
Chicago, IL 60659
Phone (312) 468-1491

3525 W Peterson Ave
Ste 50
Chicago, IL 60659
Phone (312) 468-1491

NPI Registry JSON

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

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1083481519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 W PETERSON AVE STE 506",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593317",
            "telephone_number": "312-468-1491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 W PETERSON AVE STE 506",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593317",
            "telephone_number": "312-468-1491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-05",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "ABDUL LATHEEF",
        "authorized_official_first_name": "NFN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-468-1491"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.