Active NPI
Lois Polatnick, M.D.
- Optometrist
- Chicago, IL
National Provider Identifier
1245442441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- LOIS POLATNICK, M.D.
- Practice address
- 2900 N Lake Shore Dr
Chicago, IL 60657 - Phone
- (773) 665-3080
- NPI assigned
- May 3, 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
- Tammy Sanchez
- Title
- Billing Manager
- Phone
- (630) 424-1122
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
2900 N Lake Shore Dr
Chicago, IL 60657
Mailing address
2552 Sutton Lane
Aurora, IL 60502
Phone (630) 424-1122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01626789 | Other | IL | BCBS OF IL PROVIDER NO. |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Aurora, IL
- NPI 1154356434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214352000000",
"number": "1245442441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2552 SUTTON LANE",
"city": "AURORA",
"state": "IL",
"postal_code": "60502",
"telephone_number": "630-424-1122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 N LAKE SHORE DR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60657",
"telephone_number": "773-665-3080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOIS POLATNICK, M.D.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-03",
"last_updated": "2008-06-25",
"status": "A",
"authorized_official_last_name": "SANCHEZ",
"authorized_official_first_name": "TAMMY",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "630-424-1122"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF IL PROVIDER NO.",
"identifier": "01626789",
"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 Jun 25, 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.