Active NPI
Joshua M Lennon, M.D.
- Pediatrics Physician
- Skokie, IL
National Provider Identifier
1245527183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036135161
- Practice address
- 9138 Ridgeway Ave
Skokie, IL 60076-1754 - Phone
- (847) 677-3626
- NPI assigned
- Jun 29, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 036135161 | IL | |
| Pediatrics Physician | 208000000X | 036135161 | IL | Primary |
Addresses
Primary practice location
9138 Ridgeway Ave
Skokie, IL 60076-1754
Mailing address
9138 Ridgeway Ave
Skokie, IL 60076-1754
Phone (847) 677-3626
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 |
|---|---|---|---|
| 036135161 | IL | MD | Hospitalist Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710115200000",
"number": "1245527183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9138 RIDGEWAY AVE",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600761754",
"telephone_number": "847-677-3626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9138 RIDGEWAY AVE",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600761754",
"telephone_number": "847-677-3626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENNON",
"first_name": "JOSHUA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-29",
"last_updated": "2024-03-11",
"certification_date": "2024-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IL",
"license": "036135161",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036135161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.