Dale E. Liaugminas, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

036057817 Issued in IL

Practice address

199 S Addison Rd
Suite 108
Wood Dale, IL 60191-1929

Phone

(630) 628-8450

Fax

(630) 860-5183

NPI assigned

Oct 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Access Community Health Network

  • Federally Qualified Health Center (FQHC)
  • Des Plaines, IL
  • NPI 1982783692
  Medicare reassignment NPD
• Access Community Health Network

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1699701383
  NPD

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372291200000",
    "number": "1447335658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 S ADDISON RD",
            "address_2": "SUITE 108",
            "city": "WOOD DALE",
            "state": "IL",
            "postal_code": "601911929",
            "telephone_number": "630-628-8450",
            "fax_number": "630-860-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 S ADDISON RD",
            "address_2": "SUITE 108",
            "city": "WOOD DALE",
            "state": "IL",
            "postal_code": "601911929",
            "telephone_number": "630-628-8450",
            "fax_number": "630-860-5183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIAUGMINAS",
        "first_name": "DALE",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2013-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036057817",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036057817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036057817",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nann Lang, LAC
• Las Dental Center LTD
• Laser Vein Institute SC
• Robert A Lasica, LCSW
• Lerias & Quesea DDS PC
• Liza Marie G. Saviano, DPM
• Look Sharp Eye Care Specialists LTD
• Ada Lu
• Luxottica of America Inc.
• Jessica Mascenic, LCPC, ATR-BC

• Obstetrics & Gynecology Physician in Wood Dale, IL
• Providers in Wood Dale, IL by specialty
• Obstetrics & Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.