Individual provider Active NPI

Lynne C Belsky, MD

  • Internal Medicine Physician
  • Northbrook, IL
National Provider Identifier
1265499438
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-107233 Issued in IL
Practice address
1535 Lake Cook Rd
Suite 306
Northbrook, IL 60062-1447
Phone
(847) 418-2030
Fax
(847) 564-5250
NPI assigned
Apr 29, 2006
Last updated
Apr 24, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-107233 IL Primary

Addresses

Primary practice location

1535 Lake Cook Rd
Suite 306
Northbrook, IL 60062-1447

Mailing address

1535 Lake Cook Rd
Suite 306
Northbrook, IL 60062-1447
Phone (847) 418-2030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040408001364 IL Practitioner - Internal Medicine 7113911686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rush Medical College of Rush University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

806 Central Ave
Suite 204
Highland Park, IL 60035-3218

806 Central Ave
Suite 204
Highland Park, IL 60035-5613
Phone (847) 433-2013

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-107233ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Living Well Medical Associates, LLC Internal Medicine CurrentSince May 22, 2008 Accepting new patients
Barry R. Goldberg, M.D. LLC Internal Medicine Past Accepting new patients

Locations

806 Central Ave
Ste 204
Highland Park, IL 60035
Phone (847) 418-2030

1535 Lake Cook Rd
Ste 306
Northbrook, IL 60062
Phone (224) 522-6550

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208995200000",
    "number": "1265499438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 LAKE COOK RD",
            "address_2": "SUITE 306",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621447",
            "telephone_number": "847-418-2030",
            "fax_number": "847-564-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 LAKE COOK RD",
            "address_2": "SUITE 306",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621447",
            "telephone_number": "847-418-2030",
            "fax_number": "847-564-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELSKY",
        "first_name": "LYNNE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-29",
        "last_updated": "2008-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-107233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

Verify at the official NPI Registry.