Individual provider Active NPI

Eduardo Julian Ladlad, M.D.

  • Obstetrics & Gynecology Physician
  • Glenview, IL
National Provider Identifier
1336304583
Registry record updated Jul 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036046973 Issued in IL
Practice address
401 Beech Dr
Glenview, IL 60025-3249
Phone
(847) 998-6173
Fax
(847) 998-1384
NPI assigned
Jul 26, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036046973 IL Primary

Addresses

Primary practice location

401 Beech Dr
Glenview, IL 60025-3249

Mailing address

401 Beech Dr
Glenview, IL 60025-3249
Phone (847) 998-6173

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Forever Care Home Visiting Physicians Inc CurrentSince Feb 27, 2019 Accepting new patients
Vital Wellness Healthcare, Inc. Current Accepting new patients
Omega Home Healthcare LLC PastSince Jun 28, 2010 Accepting new patients

Locations

2200 E Devon Ave
Ste 100
Des Plaines, IL 60018
Phone (847) 257-7984

Organizations & group practices 3

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": "1217030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217030400000",
    "number": "1336304583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 BEECH DR",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600253249",
            "telephone_number": "847-998-6173",
            "fax_number": "847-998-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 BEECH DR",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600253249",
            "telephone_number": "847-998-6173",
            "fax_number": "847-998-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADLAD",
        "first_name": "EDUARDO",
        "middle_name": "JULIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-26",
        "last_updated": "2008-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036046973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2008; 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.