Individual provider Active NPI

Lynn S. Katten, MD

  • Internal Medicine Physician
  • Glenview, IL
National Provider Identifier
1093978033
Registry record updated Sep 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036.100993 Issued in IL
Practice address
2050 Claire CT
Midwest Palliative & Hospice Carecenter
Glenview, IL 60025-7635
Phone
(847) 467-7423
Fax
(847) 556-1715
NPI assigned
Jul 9, 2008
Last updated
Sep 15, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036.100993 IL Primary

Addresses

Primary practice location

2050 Claire CT
Midwest Palliative & Hospice Carecenter
Glenview, IL 60025-7635

Mailing address

2050 Claire CT
Glenview, IL 60025-7635
Phone (847) 467-7423

Other identifiers 1

IdentifierTypeStateIssuer
036100993MedicaidIL

Other names 1

  • Dr. Lynn S Ellner Former name

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
I20081009000662 IL Practitioner - Internal Medicine 9638247257 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.100993ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Journeycare, Inc Current Accepting new patients
Journeycare, Inc. CurrentSince Jun 1, 2015 Accepting new patients

Locations

2050 Claire Ct
Glenview, IL 60025
Phone (847) 467-7425

405 Lake Zurich Rd
North Barrington, IL 60010
Phone (847) 381-5599

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252972800000",
    "number": "1093978033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 CLAIRE CT",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600257635",
            "telephone_number": "847-467-7423",
            "fax_number": "847-556-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 CLAIRE CT",
            "address_2": "MIDWEST PALLIATIVE & HOSPICE CARECENTER",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600257635",
            "telephone_number": "847-467-7423",
            "fax_number": "847-556-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATTEN",
        "first_name": "LYNN",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2009-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.100993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036100993",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNN",
            "last_name": "ELLNER",
            "middle_name": "S",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glenview, IL

Sources for this page

Verify at the official NPI Registry.