Active NPI
Lincoln Healthcare Inc
- Clinical Medical Laboratory
- Chicago, IL
National Provider Identifier
1083481519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251022002068 | IL | Part B Supplier - Independent Clinical Laboratory | 2860980802 | Practice locations: Chicago, IL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2295396 | Lincoln Healthcare Inc | Certificate of waiver | Dec 10, 2027 |
National Provider Directory
National Provider DirectoryLocations
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
- Lincoln Advanced Diagnostics, LLC
- Lincoln Cosmetic Dentistry LLC
- Lincoln Dental Family Center
- Lincoln Dental Group
- Lincoln Health & Wellness Center, LTD.
- Lincoln Medical Center, PC
- Lincoln Park Cardiovascular and Thoracic Surgeons, SC
- Lincoln Park Center for Dental Anesthesia
- Lincoln Park Chiropractic, LLC
- Lincoln Park Chiropractic, PC
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.