Active NPI
C Ronald Lindberg MD SC
- Ophthalmology Physician
- Burr Ridge, IL
National Provider Identifier
1114018652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L020526 | Other | IL | CHAMPUS |
| 0021609698 | Other | IL | BLUE CROSS BLUE SHIELD |
| 036055534 | Medicaid | IL |
National Provider Directory
National Provider DirectoryLocations
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.