Individual provider Active NPI

Laura M. Laskonis, DO

  • Pediatrics Physician
  • Countryside, IL
National Provider Identifier
1477583854
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036-094485 Issued in IL
Practice address
6410 Joliet Rd
Countryside, IL 60525-4642
Phone
(708) 352-4448
Fax
(708) 352-1052
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036-094485 IL Primary

Addresses

Primary practice location

6410 Joliet Rd
Countryside, IL 60525-4642

Mailing address

6410 Joliet Rd
Countryside, IL 60525-4642
Phone (708) 352-4448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
036-094485ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
All Star Pediatrics, P.C. Pediatrics CurrentSince Mar 24, 2024 Accepting new patients

Locations

6428 Joliet Rd
Ste 201
Countryside, IL 60525

6410 Joliet Rd
Ste 3
Countryside, IL 60525

6410 Joliet Rd
Countryside, IL 60525
Phone (708) 352-4448

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1477583854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 JOLIET RD",
            "city": "COUNTRYSIDE",
            "state": "IL",
            "postal_code": "605254642",
            "telephone_number": "708-352-4448",
            "fax_number": "708-352-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 JOLIET RD",
            "city": "COUNTRYSIDE",
            "state": "IL",
            "postal_code": "605254642",
            "telephone_number": "708-352-4448",
            "fax_number": "708-352-1052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASKONIS",
        "first_name": "LAURA",
        "middle_name": "M.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036-094485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Countryside, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.