Lifescan Chicago LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

LIFESCAN CHICAGO LLC

Practice address

2242 W Harrison St
Ste 100
Chicago, IL 60612-3515

Phone

(312) 243-3200

Fax

(312) 243-5759

NPI assigned

May 23, 2005

Last updated

May 6, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Soto

Title

Credentialing Manager

Phone

(708) 452-6842

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Michael J Blend

  • Diagnostic Radiology Physician
  • Chicago, IL
  • NPI 1225041304
  NPD (past)
• Barry Lake Fischer, M.D

  • Internal Medicine Physician
  • Naperville, IL
  • NPI 1982753653
  NPD (past)

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241568000000",
    "number": "1356344378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2242 W HARRISON ST",
            "address_2": "STE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123515",
            "telephone_number": "312-243-3200",
            "fax_number": "312-243-5759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2242 W HARRISON ST",
            "address_2": "STE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123515",
            "telephone_number": "312-243-3200",
            "fax_number": "312-243-5759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESCAN CHICAGO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2009-05-06",
        "status": "A",
        "authorized_official_last_name": "SOTO",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "708-452-6842",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifepath Therapy Associates, LLC
• Lifequest Diagnostics LLC
• Lifesaver Healthcare, LLC
• Lifesaver Healthcare, LLC
• Lifesaver Intervention Center Inc
• Lifescan Labs of Illinois, LLC
• Lifescore Foundation
• Lifespan Behavioral Health P.C.
• Lifespan Neurodevelopmental Consultants
• Lifesport Physical Therapy PC

• Radiology Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Radiology Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; 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.