Active NPI
Lauren Penman
- Physician Assistant
- Chicago, IL
National Provider Identifier
1477421105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085011865
- Practice address
- 2718 W Roscoe St
Chicago, IL 60618-5910 - Phone
- (773) 961-3000
- NPI assigned
- Oct 24, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085011865 | IL | Primary |
Addresses
Primary practice location
2718 W Roscoe St
Chicago, IL 60618-5910
Mailing address
6115 Osage Dr
Carmel, IN 46033-8546
Phone (317) 650-3730
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784851200000",
"number": "1477421105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6115 OSAGE DR",
"city": "CARMEL",
"state": "IN",
"postal_code": "460338546",
"telephone_number": "317-650-3730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2718 W ROSCOE ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606185910",
"telephone_number": "773-961-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENMAN",
"first_name": "LAUREN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-10-24",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085011865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jul 24, 2026; 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.