Organization Active NPI

Lynda Roden Dosc

  • Internal Medicine Physician
  • Libertyville, IL
National Provider Identifier
1487727327
Registry record updated Sep 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-0956476 Issued in IL
Legal business name
LYNDA RODEN DOSC
Practice address
1870 W Winchester Rd
Ste 143
Libertyville, IL 60048-5358
Phone
(847) 549-7777
Fax
(847) 549-7779
NPI assigned
Nov 16, 2006
Last updated
Sep 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2008

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

Authorized official

Name
Dr. Lynda Roden, DONPI 1689790008
Title
Doctor
Phone
(847) 549-7777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 036-0956476 IL Primary

Addresses

Primary practice location

1870 W Winchester Rd
Ste 143
Libertyville, IL 60048-5358

Mailing address

1870 W Winchester Rd
Ste 143
Libertyville, IL 60048-5358
Phone (847) 549-7777

National Provider Directory

National Provider Directory

Locations

6440 Grand Ave
Ste 106
Gurnee, IL 60031
Phone (847) 855-0123

1870 W Winchester Rd
Ste 1
Libertyville, IL 60048
Phone (847) 740-2366

1870 W Winchester Rd
Ste 143
Libertyville, IL 60048
Phone (847) 549-7777

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1487727327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 W WINCHESTER RD",
            "address_2": "STE 143",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485358",
            "telephone_number": "847-549-7777",
            "fax_number": "847-549-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 W WINCHESTER RD",
            "address_2": "STE 143",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485358",
            "telephone_number": "847-549-7777",
            "fax_number": "847-549-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNDA RODEN DOSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "RODEN",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "847-549-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-0956476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; 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.