Organization Active NPI

C Ronald Lindberg MD SC

  • Ophthalmology Physician
  • Burr Ridge, IL
National Provider Identifier
1114018652
Registry record updated Feb 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
C RONALD LINDBERG MD SC
Practice address
6463 Garfield Ridge CT
Burr Ridge, IL 60527-5285
Phone
(708) 579-3090
Fax
(708) 579-3094
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2016

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

Authorized official

Name
Dr. C Ronald Lindberg, M D
Title
President
Phone
(708) 579-3090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

6463 Garfield Ridge CT
Burr Ridge, IL 60527-5285

Mailing address

6463 Garfield Ridge CT
Burr Ridge, IL 60527-5285
Phone (708) 579-3090

Other identifiers 3

IdentifierTypeStateIssuer
L020526OtherILCHAMPUS
0021609698OtherILBLUE CROSS BLUE SHIELD
036055534MedicaidIL

National Provider Directory

National Provider Directory

Locations

915 55th St
Ste 200
Western Springs, IL 60558
Phone (708) 352-5652

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456012800000",
    "number": "1114018652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6463 GARFIELD RIDGE CT",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605275285",
            "telephone_number": "708-579-3090",
            "fax_number": "708-579-3094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6463 GARFIELD RIDGE CT",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605275285",
            "telephone_number": "708-579-3090",
            "fax_number": "708-579-3094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C RONALD LINDBERG MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2016-02-21",
        "status": "A",
        "authorized_official_last_name": "LINDBERG",
        "authorized_official_first_name": "C RONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-579-3090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "L020526",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0021609698",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036055534",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burr Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2016; 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.