NPIMap

Organization Active NPI

Lake Forest Pediatric Associates, LTD

  • Clinic/Center
  • Lake Forest, IL
National Provider Identifier
1316984107
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
LAKE FOREST PEDIATRIC ASSOCIATES, LTD
Practice address
900 N Westmoreland Rd
Suite 110
Lake Forest, IL 60045-1674
Phone
(847) 295-1220
Fax
(847) 295-1255
NPI assigned
Jun 1, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Lisa Marie Macnair
Title
Director
Phone
(847) 295-1220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

900 N Westmoreland Rd
Suite 110
Lake Forest, IL 60045-1674

Mailing address

900 N Westmoreland Rd
Suite 110
Lake Forest, IL 60045-1674
Phone (847) 295-1220

National Provider Directory

National Provider Directory

Locations

917 Sherwood Dr
Ste 100
Lake Bluff, IL 60044

900 N Westmoreland Rd
Ste 110
Lake Forest, IL 60045
Phone (312) 227-1010

565 Lakeview Pkwy
Ste 105
Vernon Hills, IL 60061
Phone (847) 984-6585

656 Lakeview Pkwy Ste 105
Vernon Hills, IL 60061

870 W End Ct
Vernon Hills, IL 60061
Phone (847) 362-5323

870 W End Ct
Ste 100
Vernon Hills, IL 60061

Practitioners & affiliated clinicians

Practitioners 12

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": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316984107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N WESTMORELAND RD",
            "address_2": "SUITE 110",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451674",
            "telephone_number": "847-295-1220",
            "fax_number": "847-295-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N WESTMORELAND RD",
            "address_2": "SUITE 110",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451674",
            "telephone_number": "847-295-1220",
            "fax_number": "847-295-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE FOREST PEDIATRIC ASSOCIATES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MACNAIR",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "847-295-1220",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.