Organization Active NPI

Lincona Medical Asso.LTD.

  • Ph.D. Medical Genetics
  • Chicago, IL
National Provider Identifier
1497773006
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ph.D. Medical GeneticsTaxonomy code 170100000X
Legal business name
LINCONA MEDICAL ASSO.LTD.
Practice address
5131 N Lincoln Ave
Chicago, IL 60625-2585
Phone
(773) 878-1515
NPI assigned
Jul 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Authorized official

Name
Dr. Galina Gribovich, M.D
Title
Family Practice
Phone
(773) 878-1515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ph.D. Medical GeneticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 170100000X IL Primary

Addresses

Primary practice location

5131 N Lincoln Ave
Chicago, IL 60625-2585

Mailing address

5131 N Lincoln Ave
Chicago, IL 60625-2585
Phone (773) 878-1515

National Provider Directory

National Provider Directory
Tax ID family
Lincona Medical Assoltd2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1497773006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5131 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252585",
            "telephone_number": "773-878-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5131 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252585",
            "telephone_number": "773-878-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCONA MEDICAL ASSO.LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "GRIBOVICH",
        "authorized_official_first_name": "GALINA",
        "authorized_official_title_or_position": "FAMILY PRACTICE",
        "authorized_official_telephone_number": "773-878-1515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "IL",
            "license": null,
            "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 Nov 15, 2007; 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.