Individual provider Active NPI

Mia L. Norlin, M.D.

  • Obstetrics & Gynecology Physician
  • Chicago, IL
National Provider Identifier
1124079744
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036.104628 Issued in IL
Practice address
900 N Kingsbury St Ste 130N
Chicago, IL 60610-7457
Phone
(312) 775-1100
Fax
(312) 775-1111
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 036-104628 IL
Obstetrics & Gynecology Physician 207V00000X 036.104628 IL Primary

Addresses

Primary practice location

900 N Kingsbury St Ste 130N
Chicago, IL 60610-7457

Mailing address

30 N Michigan Ave
Ste 300
Chicago, IL 60602-4495
Phone (312) 726-3917

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
I20170328001224 IL Practitioner - Obstetrics/Gynecology 3870811284 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-104628ILMDSpecialist
036.104628ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Center for Women'S Health Care, LTD. Obstetrics & Gynecology CurrentSince Jan 8, 2024 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Mar 1, 2020 Accepting new patients
Together Women'S Health Medical Group of Illinois, PLLC Specialist CurrentSince Nov 3, 2024 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Mar 1, 2020 Accepting new patients
The Womens Practice Past Accepting new patients
The Women'S Practice Obstetrics & Gynecology Past Accepting new patients
Karen L. Jaffe Psy.D. LTD Past Accepting new patients

Locations

2801 Lakeside Dr
Ste 209
Bannockburn, IL 60015
Phone (847) 562-1410

Dept 5777
Carol Stream, IL 60122

30 N Michigan Ave
Ste 607
Chicago, IL 60602
Phone (312) 263-1780

737 N Michigan Ave
Ste 950
Chicago, IL 60611
Phone (312) 751-7515

30 N Michigan Ave
Ste 300
Chicago, IL 60602
Phone (312) 558-6481

900 N Kingsbury St
Ste 130N
Chicago, IL 60610
Phone (312) 775-1100

40 Skokie Blvd
Ste 300
Northbrook, IL 60062
Phone (847) 498-0690

350 S Northwest Hwy
Ste 112
Park Ridge, IL 60068
Phone (847) 825-8108

Interoperability endpoints

  • Direct secure messaging: mia.norlin.1@29023.direct.athenahealth.com

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1124079744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE",
            "address_2": "STE 300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606024495",
            "telephone_number": "312-726-3917",
            "fax_number": "312-726-3917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N KINGSBURY ST STE 130N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606107457",
            "telephone_number": "312-775-1100",
            "fax_number": "312-775-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORLIN",
        "first_name": "MIA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036-104628",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036.104628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.