Active NPI
Evan Lines, OTR
- Occupational Therapist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056013025
- Practice address
- 1611 W Harrison St Ste 107
Chicago, IL 60612-4861 - Phone
- (877) 632-6637
- NPI assigned
- Feb 2, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 31006516A | IN | |
| Occupational Therapist | 225X00000X | 056013025 | IL | Primary |
Addresses
Primary practice location
1611 W Harrison St Ste 107
Chicago, IL 60612-4861
Mailing address
1611 W Harrison St Ste 107
Chicago, IL 60612-4861
Phone (877) 632-6637
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, IL
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056013025 | IL | MD | Occupational Therapist |
| 31006516A | IN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana University Health Ambulatory Surgery Centers, LLC | Current | Accepting new patients | |
| Beltway Surgery Centers LLC | Current | Accepting new patients | |
| Orthomidwest, PLLC | Current | Accepting new patients | |
| Midwest Orthopaedics at Rush LLC | Current | Accepting new patients | |
| Midwest Orthopaedics at Rush, LLC | Current | Accepting new patients | |
| Orthomidwest, PLLC | Occupational Therapist | Current | Accepting new patients |
Locations
770 Beloit Rd
Belvidere, IL 61008
Phone (815) 847-7060
1611 W Harrison St
Ste 107
Chicago, IL 60612
Phone (312) 432-2513
1611 W Harrison St
Ste 400
Chicago, IL 60612
Phone (312) 243-4244
1611 W Harrison St
#400
Chicago, IL 60612
Phone (312) 243-4244
1611 W Harrison St
Ste 300
Chicago, IL 60612
Phone (312) 432-2300
2011 York Rd
Ste 3000
Oak Brook, IL 60523
Phone (414) 732-2577
1 Westbrook Corporate Ctr
Ste 240
Westchester, IL 60154
2450 Wolf Rd
Ste F
Westchester, IL 60154
Phone (708) 236-2750
25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600
8501 Harcourt Rd
Indianapolis, IN 46260
Phone (317) 471-4339
9200 Calumet Ave
#300
Munster, IN 46321
9601 Calumet Ave
Munster, IN 46321
Phone (312) 432-2591
9200 Calumet Ave
Ste N500
Munster, IN 46321
Phone (219) 513-9955
Organizations & group practices 6
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.
-
- Orthopaedic Surgery Physician
- Rockford, IL
- NPI 1730136474
IN, Occupational Therapist
-
- Durable Medical Equipment & Medical Supplies
- Orland Park, IL
- NPI 1134871908
-
- Durable Medical Equipment & Medical Supplies
- Buffalo Grove, IL
- NPI 1043180839
-
dba Indiana Hand to Shoulder Beltway Surgery Center
- Ambulatory Surgical Clinic/Center
- Indianapolis, IN
- NPI 1205939345
-
dba IU Health Surgery Center - Harcourt
- Ambulatory Surgical Clinic/Center
- Indianapolis, IN
- NPI 1841187143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694476800000",
"number": "1265931562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1611 W HARRISON ST STE 107",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606124861",
"telephone_number": "877-632-6637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 W HARRISON ST STE 107",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606124861",
"telephone_number": "877-632-6637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINES",
"first_name": "EVAN",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-02",
"last_updated": "2023-09-12",
"certification_date": "2023-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31006516A",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056013025",
"primary": true
}
],
"identifiers": [],
"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 Sep 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.