Individual provider Active NPI

Lubna A. Al-Sinawi, M.D.

  • Family Medicine Physician
  • Riverwoods, IL
National Provider Identifier
1366519134
Registry record updated Jun 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-108862 Issued in IL
Practice address
430 Muirfield LN
Riverwoods, IL 60015-3880
Phone
(847) 374-0305
Fax
(847) 374-0372
NPI assigned
Nov 29, 2006
Last updated
Jun 23, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036-108862 IL Primary

Addresses

Primary practice location

430 Muirfield LN
Riverwoods, IL 60015-3880

Mailing address

430 Muirfield LN
Riverwoods, IL 60015-3880
Phone (847) 374-0305

Other identifiers 2

IdentifierTypeStateIssuer
3633309286030501MedicaidIL
1619414OtherILBCBS GROUP

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-108862ILMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245715200000",
    "number": "1366519134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 MUIRFIELD LN",
            "city": "RIVERWOODS",
            "state": "IL",
            "postal_code": "600153880",
            "telephone_number": "847-374-0305",
            "fax_number": "847-374-0372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 MUIRFIELD LN",
            "city": "RIVERWOODS",
            "state": "IL",
            "postal_code": "600153880",
            "telephone_number": "847-374-0305",
            "fax_number": "847-374-0372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-SINAWI",
        "first_name": "LUBNA",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2009-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-108862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3633309286030501",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "1619414",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverwoods, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.