Individual provider Active NPI

Olga Lansky, M.D.

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1326019407
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-090217 Issued in IL
Practice address
6420 N California Ave
Chicago, IL 60645-5253
Phone
(773) 973-6100
Fax
(773) 262-4882
NPI assigned
Jan 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

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 036-090217 IL Primary

Addresses

Primary practice location

6420 N California Ave
Chicago, IL 60645-5253

Mailing address

342 S Milwaukee Ave
Wheeling, IL 60090-5021
Phone (847) 520-8909

Other identifiers 1

IdentifierTypeStateIssuer
036-090217MedicaidIL

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
I20060216000109 IL Practitioner - Internal Medicine 3173413499 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-090217ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
GGL Healthcare Associates, PLLC Internal Medicine CurrentSince Jan 23, 2023 Accepting new patients

Locations

9933 Lawler Ave
Ste 440
Skokie, IL 60077
Phone (224) 251-8490

342 S Milwaukee Ave
Wheeling, IL 60090
Phone (773) 973-7570

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Grove of NorthbrookNorthbrook, IL, CCN 145809 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Nov 6, 2015
Nov 6, 2015

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1326019407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 S MILWAUKEE AVE",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600905021",
            "telephone_number": "847-520-8909",
            "fax_number": "847-520-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 N CALIFORNIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606455253",
            "telephone_number": "773-973-6100",
            "fax_number": "773-262-4882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANSKY",
        "first_name": "OLGA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-090217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-090217",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.