Li Ling Lai, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036120859 Issued in IL

Practice address

101 United Dr
Suite 110
Collinsville, IL 62234-7428

Phone

(618) 855-9041

Fax

(618) 855-9046

NPI assigned

Dec 6, 2005

Last updated

Dec 6, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: liling.lai@hp-il.direct.office.nextgen.com

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.

• Kristin Stahl MD PC

  dba Dale Avenue Pediatrics

  • Primary Care Clinic/Center
  • Collinsville, IL
  • NPI 1336209329

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1114901725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 UNITED DR",
            "address_2": "SUITE 110",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622347428",
            "telephone_number": "618-855-9041",
            "fax_number": "618-855-9046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 UNITED DR",
            "address_2": "SUITE 110",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622347428",
            "telephone_number": "618-855-9041",
            "fax_number": "618-855-9046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAI",
        "first_name": "LI LING",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-06",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036120859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "HIE",
            "affiliation": "Y",
            "affiliationName": "St. Louis Children's Hospital",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "101 United Dr",
            "address_2": "Suite 110",
            "city": "Collinsville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622347428",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "HIE",
            "affiliation": "Y",
            "affiliationName": "St. Louis Children's Hospital",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7600 Dale Ave",
            "city": "Richmond Heights",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631172132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tiffany Cason Kornmann, MSW, LCSW
• Kosten Dental Care, P.C.
• Logan Kozi
• Kreg Therapeutics Inc.
• Kristin Stahl MD PC (Dale Avenue Pediatrics)
• Christopher P Lammert, BC-HIS
• Amy R Landry
• Lynn Frances Lauber, BSW, MSW
• Shannon M Lawton-O'Boyle, MSW, MED
• Kelley Laverne Lee, LCPC

• Pediatrics Physician in Collinsville, IL
• Providers in Collinsville, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; 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.