Individual provider Active NPI

Amy Kleinklaus-Lee, DO

  • Obstetrics & Gynecology Physician
  • Buffalo Grove, IL
National Provider Identifier
1225132319
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036122953 Issued in IL
Practice address
600 W Lake Cook Rd
Ste 120
Buffalo Grove, IL 60089-2089
Phone
(847) 808-8884
Fax
(847) 808-8890
NPI assigned
Sep 11, 2006
Last updated
Jan 31, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036122953 IL Primary

Addresses

Primary practice location

600 W Lake Cook Rd
Ste 120
Buffalo Grove, IL 60089-2089

Mailing address

600 W Lake Cook Rd
Ste 120
Buffalo Grove, IL 60089-2089
Phone (847) 808-8884

Other identifiers 21

IdentifierTypeStateIssuer
061483728OtherFIRH
061483728OtherGRWE
061483728OtherNEDH
160002038OtherMCR
061483728OtherMULT
2861803OtherATNA
401600OtherCTCR
061483728OtherCGNA
061483728OtherONE
1225132319OtherNPI
P2647139OtherOHP
061483728OtherPOMC
040040160CT01OtherBCCT
061483728OtherNYGE
061483728OtherHLCT
1710959721OtherNPI GROUP NUMBER
061483728OtherHMC
061483728OtherPHCS
2V1497OtherHNET
531880002OtherILPTAN
061483728OtherCHCR

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 Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Community Women Services LLC Obstetrics & Gynecology PastSince Jan 1, 2020 Accepting new patients
Women's Healthfirst L.L.C Obstetrics & Gynecology 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.

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359590400000",
    "number": "1225132319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W LAKE COOK RD",
            "address_2": "STE 120",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600892089",
            "telephone_number": "847-808-8884",
            "fax_number": "847-808-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W LAKE COOK RD",
            "address_2": "STE 120",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600892089",
            "telephone_number": "847-808-8884",
            "fax_number": "847-808-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEINKLAUS-LEE",
        "first_name": "AMY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-11",
        "last_updated": "2013-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036122953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRH",
            "identifier": "061483728",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRWE",
            "identifier": "061483728",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEDH",
            "identifier": "061483728",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR",
            "identifier": "160002038",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULT",
            "identifier": "061483728",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATNA",
            "identifier": "2861803",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CTCR",
            "identifier": "401600",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CGNA",
            "identifier": "061483728",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ONE",
            "identifier": "061483728",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1225132319",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHP",
            "identifier": "P2647139",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "POMC",
            "identifier": "061483728",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCCT",
            "identifier": "040040160CT01",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYGE",
            "identifier": "061483728",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HLCT",
            "identifier": "061483728",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GROUP NUMBER",
            "identifier": "1710959721",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMC",
            "identifier": "061483728",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "061483728",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HNET",
            "identifier": "2V1497",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "531880002",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHCR",
            "identifier": "061483728",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.