Individual provider Active NPI

Lubov Bakman

  • Family Nurse Practitioner
  • Skokie, IL
National Provider Identifier
1356707111
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.013478 Issued in IL
Practice address
4860 Oakton St
Skokie, IL 60077-2953
Phone
(847) 329-0470
NPI assigned
Jan 10, 2016
Last updated
Nov 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209013478 IL
Family Nurse Practitioner 363LF0000X 209.013478 IL Primary
Family Health Clinical Nurse Specialist 364SF0001X 209013478 IL

Addresses

Primary practice location

4860 Oakton St
Skokie, IL 60077-2953

Mailing address

4333 Ivy LN
Glenview, IL 60026-1086
Phone (224) 522-3040

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160122001376 IL Practitioner - Nurse Practitioner 7911200076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oakton Health Center SCGroup PAC ID 3779628482, 5 clinicians

Practice addresses (Care Compare)

4856 Oakton St
Skokie, IL 60077-2953
Phone (847) 329-0470

4860 Oakton St
Skokie, IL 60077-2953
Phone (847) 329-0470

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209.013478ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oakton Health Center SC CurrentSince Sep 22, 2016 Accepting new patients

Locations

4860 Oakton St
Skokie, IL 60077
Phone (847) 215-8666

Interoperability endpoints

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1452384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1356707111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4333 IVY LN",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600261086",
            "telephone_number": "224-522-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4860 OAKTON ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600772953",
            "telephone_number": "847-329-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKMAN",
        "first_name": "LUBOV",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-10",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209013478",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.013478",
            "primary": true
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "IL",
            "license": "209013478",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.