NPIMap

Organization Active NPI

Maria Lentzou MD SC

  • Internal Medicine Physician
  • Palos Heights, IL
National Provider Identifier
1316144249
Registry record updated Feb 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MARIA LENTZOU MD SC
Practice address
12050 S Harlem Ave
Suite a
Palos Heights, IL 60463-1470
Phone
(708) 671-1500
Fax
(708) 671-1535
NPI assigned
Jul 3, 2007
Last updated
Feb 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2010

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

Authorized official

Name
Maria Lentzou, MDNPI 1124071139
Title
Physician
Phone
(708) 671-1500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

12050 S Harlem Ave
Suite a
Palos Heights, IL 60463-1470

Mailing address

12050 S Harlem Ave
Suite a
Palos Heights, IL 60463-1470
Phone (708) 671-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050225000564 IL Part B Supplier - Clinic/Group Practice 1658324090 Receives reassigned benefits from 8 practitioners
Practice locations: Palos Heights, IL

National Provider Directory

National Provider Directory

Locations

9401 S Pulaski Rd
Evergreen Pk, IL 60805
Phone (708) 422-3737

14400 John Humphrey Dr
Ste 1E
Orland Park, IL 60462
Phone (708) 671-1500

14400 John Humphrey Dr
Ste 210
Orland Park, IL 60462
Phone (708) 963-0322

16535 106th Ct
Ste A3
Orland Park, IL 60467
Phone (708) 671-1500

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266364800000",
    "number": "1316144249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12050 S HARLEM AVE",
            "address_2": "SUITE A",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631470",
            "telephone_number": "708-671-1500",
            "fax_number": "708-671-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12050 S HARLEM AVE",
            "address_2": "SUITE A",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631470",
            "telephone_number": "708-671-1500",
            "fax_number": "708-671-1535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA LENTZOU MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2010-02-17",
        "status": "A",
        "authorized_official_last_name": "LENTZOU",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "708-671-1500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; 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.

Verify at the official NPI Registry.