F G L Lerner MD Services LTD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

F G L LERNER MD SERVICES LTD

Practice address

2100 S Indiana Ave
Ste 111
Chicago, IL 60616-1381

Phone

(312) 842-3700

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

William Blake

Title

Principal Officer

Phone

(312) 842-3700

Specialties & licenses 1

Addresses

Other names 1

• clinic Doing business as

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407928807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 S INDIANA AVE",
            "address_2": "STE 111",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606161381",
            "telephone_number": "312-842-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 S INDIANA AVE",
            "address_2": "STE 111",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606161381",
            "telephone_number": "312-842-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F G L LERNER MD SERVICES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRINCIPAL OFFICER",
        "authorized_official_telephone_number": "312-842-3700"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ngozi Ogbunamiri Ezike, MD
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• Patricia Nwadinma Ezirike, PMHNP
• Benjamin Ezsias
• Emily E Ezzo, PSYD
• F L M Dental Corp PC
• F. J. Randin MD LTD
• F. R. Cavero, D.D.S. & Associates, P.C.
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• F&R Services, LLC

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.