Individual provider Active NPI

Denny Lau, DO

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1326492414
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036148362 Issued in IL
Practice address
1102 W Argyle St
Chicago, IL 60640-3610
Phone
(773) 394-2888
Fax
(773) 394-2889
NPI assigned
Apr 15, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036148362 IL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1102 W Argyle St
Chicago, IL 60640-3610

Mailing address

1102 W Argyle St
Chicago, IL 60640-3610
Phone (773) 394-2888

Other practice location 1

1475 E Belvidere Rd Unit 385
Grayslake, IL 60030-2026
Phone (312) 694-0484

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
I20191017001265 IL Practitioner - Family Practice 2062704000 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation CurrentSince Oct 10, 2019 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Oct 10, 2019 Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

1475 E Belvidere Rd
Unit 385
Grayslake, IL 60030
Phone (312) 694-0484

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACFIBD/Endpoint/ACFIBD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1326492414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 W ARGYLE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606403610",
            "telephone_number": "773-394-2888",
            "fax_number": "773-394-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 W ARGYLE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606403610",
            "telephone_number": "773-394-2888",
            "fax_number": "773-394-2889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1475 E Belvidere Rd Unit 385",
            "address_purpose": "LOCATION",
            "city": "Grayslake",
            "state": "IL",
            "postal_code": "600302026",
            "country_code": "US",
            "telephone_number": "312-694-0484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAU",
        "first_name": "DENNY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-15",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036148362",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.