Lurie Childrens Primary Care LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

LURIE CHILDRENS PRIMARY CARE LLC

Practice address

1460 N Halsted St
Suite 402
Chicago, IL 60642-2605

Phone

(312) 279-8900

NPI assigned

Oct 19, 2015

Organization subpart

Yes

Parent organization

CHILDRENS HOSPITAL OF CHICAGOAs reported in NPPES

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

Authorized official

Name

Cheryl Withers

Title

Director

Phone

(312) 227-6415

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Children'S Hospital of Chicago Medical Center

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632787200000",
    "number": "1134590995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E CHICAGO AVE # 118",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112991",
            "telephone_number": "312-227-6415",
            "fax_number": "312-227-9409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 N HALSTED ST",
            "address_2": "SUITE 402",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606422605",
            "telephone_number": "312-279-8900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 E Chicago Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606112991",
            "country_code": "US",
            "telephone_number": "312-227-2800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1950 Dempster St",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602021016",
            "country_code": "US",
            "telephone_number": "847-869-4300",
            "fax_number": "847-869-4330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2601 Compass Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "600268077",
            "country_code": "US",
            "telephone_number": "312-227-2800",
            "fax_number": "312-227-2850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3722 W Touhy Ave",
            "address_purpose": "LOCATION",
            "city": "Skokie",
            "state": "IL",
            "postal_code": "60076",
            "country_code": "US",
            "telephone_number": "312-227-5600",
            "fax_number": "312-227-9580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LURIE CHILDRENS PRIMARY CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILDRENS HOSPITAL OF CHICAGO",
        "enumeration_date": "2015-10-19",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-10",
        "status": "A",
        "authorized_official_last_name": "WITHERS",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "312-227-6415"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lurie Children'S Medical Group
• Lurie Children'S Medical Group
• Lurie Children'S Medical Group Inc
• Lurie Children'S Medical Group, LLC
• Lurie Childrens Pediatric Anesthesia Associates
• Lurie Childrens Surgical Foundation Inc
• Adam Lurie
• Jeffrey Lurie, MD
• Caitlin Julia Lurigio, LCSW
• Montserrat Lusarreta, LSW, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.