Active NPI
Terrence T. Lerner, M.D.
- Surgery Physician
- Chicago, IL
National Provider Identifier
1124158936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- TERRENCE T. LERNER, M.D.
- Practice address
- 3000 N Halsted St
Suite 625
Chicago, IL 60657-5188 - Phone
- (773) 767-7414
- Fax
- (773) 296-5009
- NPI assigned
- Mar 7, 2007
- 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
- Terrence T. Lerner, M.D.
- Title
- President Owner
- Phone
- (773) 767-7414
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | IL | Primary |
Addresses
Primary practice location
3000 N Halsted St
Suite 625
Chicago, IL 60657-5188
Mailing address
777 Oakmont LN
Suite 1600
Westmont, IL 60559-5511
Phone (630) 789-2550
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11041 | Other | IL | ADVOCATE HLTH PARTNERS |
| DE5854 | Other | IL | RAIL ROAD MEDICARE |
| 31601535 | Other | IL | BCBS PROVIDER ID |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1124158936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 OAKMONT LN",
"address_2": "SUITE 1600",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605595511",
"telephone_number": "630-789-2550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 N HALSTED ST",
"address_2": "SUITE 625",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606575188",
"telephone_number": "773-767-7414",
"fax_number": "773-296-5009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TERRENCE T. LERNER, M.D.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-07",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "LERNER",
"authorized_official_first_name": "TERRENCE",
"authorized_official_middle_name": "T.",
"authorized_official_title_or_position": "PRESIDENT OWNER",
"authorized_official_telephone_number": "773-767-7414",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADVOCATE HLTH PARTNERS",
"identifier": "11041",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "DE5854",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER ID",
"identifier": "31601535",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.