NPIMap

Organization Active NPI

Lillian Obucina DDS PC

Doing business as Lakefront Dental

  • Dentist
  • Chicago, IL
National Provider Identifier
1427597368
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019021263 Issued in IL
Legal business name
LILLIAN OBUCINA DDS PC
Doing business as
Lakefront Dental
Practice address
111 North Wabash
Suite 1522
Chicago, IL 60202
Phone
(312) 909-2839
NPI assigned
Feb 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2017

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

Authorized official

Name
Dr. Lillian Obucina, DDSNPI 1609907013
Title
President
Phone
(312) 505-2918

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019021263 IL Primary

Addresses

Primary practice location

111 North Wabash
Suite 1522
Chicago, IL 60202

Mailing address

111 North Wabash
Suite 1522
Chicago, IL 60202
Phone (312) 909-2839

Other names 1

  • Lakefront Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486944000000",
    "number": "1427597368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 NORTH WABASH",
            "address_2": "SUITE 1522",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60202",
            "telephone_number": "312-909-2839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 NORTH WABASH",
            "address_2": "SUITE 1522",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60202",
            "telephone_number": "312-909-2839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILLIAN OBUCINA DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2017-02-13",
        "status": "A",
        "authorized_official_last_name": "OBUCINA",
        "authorized_official_first_name": "LILLIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-505-2918",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019021263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakefront Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; 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.