NPIMap

Individual provider Active NPI

Dinah Ahomka-Lindsay, M.D.

  • Family Medicine Physician
  • Worth, IL
National Provider Identifier
1124051339
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
03689993 Issued in IL
Practice address
7000 W 111TH St Ste 210
Worth, IL 60482-1851
Phone
(708) 660-3200
Fax
(708) 923-9818
NPI assigned
Jul 9, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 03689993 IL Primary

Addresses

Primary practice location

7000 W 111TH St Ste 210
Worth, IL 60482-1851

Mailing address

7000 W 111TH St Ste 210
Worth, IL 60482-1851
Phone (708) 660-3200

Other identifiers 1

IdentifierTypeStateIssuer
03689993OtherILSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050928000101 IL Practitioner - Family Practice 2567497662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cook CountyGroup PAC ID 2860398088, 770 clinicians

Practice addresses (Care Compare)

500 E 51St St
Chicago, IL 60615-2494
Phone (312) 572-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
03689993ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cook County Current Accepting new patients
Cook County CurrentSince Mar 29, 2011 Accepting new patients
Cook County CurrentSince Mar 29, 2011 Accepting new patients
Korle Bu Medical Group Family Medicine Past Accepting new patients
Rush University Medical Center Family Medicine Past Accepting new patients
John H Stroger Jr Hospital Cook County Past Accepting new patients

Locations

12757 Western Ave
Blue Island, IL 60406
Phone (708) 293-8400

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

Organizations & group practices 6

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.

Hospital & facility affiliations 27

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124051339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 W 111TH ST STE 210",
            "city": "WORTH",
            "state": "IL",
            "postal_code": "604821851",
            "telephone_number": "708-660-3200",
            "fax_number": "708-923-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 W 111TH ST STE 210",
            "city": "WORTH",
            "state": "IL",
            "postal_code": "604821851",
            "telephone_number": "708-660-3200",
            "fax_number": "708-923-9818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHOMKA-LINDSAY",
        "first_name": "DINAH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "03689993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "03689993",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worth, IL

Sources for this page

Verify at the official NPI Registry.