Individual provider Active NPI

Brittany Marie Van Auken, M.D.

  • Pediatrics Physician
  • Lake Bluff, IL
National Provider Identifier
1437509916
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
125068259 Issued in IL
Practice address
917 Sherwood Dr
Lake Bluff, IL 60044-2224
Phone
(847) 295-1220
NPI assigned
Jun 15, 2016
Last updated
Dec 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 125068259 IL Primary
Pediatrics Physician 208000000X 036148432 IL

Addresses

Primary practice location

917 Sherwood Dr
Lake Bluff, IL 60044-2224

Mailing address

20582 W Lakeridge CT
Kildeer, IL 60047-8315
Phone (847) 812-3349

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160713001813 IL Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 4082906953

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036148432ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Forest Pediatric Associates, LTD Pediatrics Past Accepting new patients
Rush University Medical Center Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: brittany.van.auken.1@29161.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1437509916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20582 W LAKERIDGE CT",
            "city": "KILDEER",
            "state": "IL",
            "postal_code": "600478315",
            "telephone_number": "847-812-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 SHERWOOD DR",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600442224",
            "telephone_number": "847-295-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN AUKEN",
        "first_name": "BRITTANY",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-15",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "125068259",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036148432",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Bluff, IL

Sources for this page

Verify at the official NPI Registry.