Organization Active NPI

Aspire Internal Medicine PLLC

  • Internal Medicine Physician
  • Northbrook, IL
National Provider Identifier
1457032195
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ASPIRE INTERNAL MEDICINE PLLC
Practice address
400 Skokie Blvd Ste 530
Northbrook, IL 60062-2816
Phone
(847) 595-5330
Fax
(847) 221-6934
NPI assigned
Jul 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Authorized official

Name
Dr. Sanjeev Lulla, MDNPI 1871652420
Title
Partner
Phone
(773) 550-2345

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

400 Skokie Blvd Ste 530
Northbrook, IL 60062-2816

Mailing address

400 Skokie Blvd Ste 530
Northbrook, IL 60062-2816
Phone (847) 595-5330

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2287781Aspire Internal Medicine400 Skokie Blvd - Ste 530, Northbrook, IL 60062Certificate of waiverAug 16, 2027

National Provider Directory

National Provider Directory

Locations

400 Skokie Blvd
Ste 530
Northbrook, IL 60062
Phone (773) 550-2345

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1457032195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SKOKIE BLVD STE 530",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622816",
            "telephone_number": "847-595-5330",
            "fax_number": "847-221-6934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SKOKIE BLVD STE 530",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622816",
            "telephone_number": "847-595-5330",
            "fax_number": "847-221-6934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPIRE INTERNAL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-26",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "LULLA",
        "authorized_official_first_name": "SANJEEV",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "773-550-2345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.