Active NPI
Lois Ann Polatnick, MD
- Ophthalmology Physician
- Aurora, IL
National Provider Identifier
1154356434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 036085223
- Practice address
- 1300 N Highland Ave
Aurora, IL 60506-1451 - Phone
- (630) 897-5104
- NPI assigned
- Jul 12, 2006
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 036085223 | IL | Primary |
Addresses
Primary practice location
1300 N Highland Ave
Aurora, IL 60506-1451
Mailing address
401 N Wabash Ave Unit 62F
Chicago, IL 60611-3826
Other practice location 1
2900 N Lake Shore Dr
Chicago, IL 60657
Phone (630) 978-0828
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036085223 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036085223 | IL | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lois Polatnick, M.D. | Past | Accepting new patients | |
| Chicago Institute of Neurosurgery & Neuroresearch | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Neurological Surgery Physician
- Chicago, IL
- NPI 1326099391
-
- Optometrist
- Chicago, IL
- NPI 1245442441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1154356434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 N WABASH AVE UNIT 62F",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606113826",
"fax_number": "312-878-0568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 N HIGHLAND AVE",
"city": "AURORA",
"state": "IL",
"postal_code": "605061451",
"telephone_number": "630-897-5104"
}
],
"practiceLocations": [
{
"address_1": "2900 N Lake Shore Dr",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "60657",
"country_code": "US",
"telephone_number": "630-978-0828",
"fax_number": "847-556-6480",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POLATNICK",
"first_name": "LOIS",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IL",
"license": "036085223",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036085223",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.