Active NPI
Loren A Adelman, DPM
- Podiatrist
- Highland Park, IL
National Provider Identifier
1508844770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 016 003793
- Practice address
- 1777 Green Bay Rd
Ste 201
Highland Park, IL 60035-3297 - Phone
- (847) 433-3460
- Fax
- (847) 433-4062
- NPI assigned
- Jan 6, 2006
- Last updated
- Feb 16, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 016 003793 | IL | Primary |
Addresses
Primary practice location
1777 Green Bay Rd
Ste 201
Highland Park, IL 60035-3297
Mailing address
1777 Green Bay Rd
Ste 201
Highland Park, IL 60035-3297
Phone (847) 433-3460
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ladelman231554@direct.northshore.org |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016 003793 | IL | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barry R. Goldberg, M.D. LLC | Past | Accepting new patients | |
| Essential Health Chiropractic, LLC | Past | Accepting new patients |
Interoperability endpoints
- ladelman231554@direct.northshore.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Highland Park, IL
- NPI 1659528784
-
- Chiropractor
- Highland Park, IL
- NPI 1780844944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613433600000",
"number": "1508844770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1777 GREEN BAY RD",
"address_2": "STE 201",
"city": "HIGHLAND PARK",
"state": "IL",
"postal_code": "600353297",
"telephone_number": "847-433-3460",
"fax_number": "847-433-4062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1777 GREEN BAY RD",
"address_2": "STE 201",
"city": "HIGHLAND PARK",
"state": "IL",
"postal_code": "600353297",
"telephone_number": "847-433-3460",
"fax_number": "847-433-4062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADELMAN",
"first_name": "LOREN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-06",
"last_updated": "2021-02-16",
"certification_date": "2021-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IL",
"license": "016 003793",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ladelman231554@direct.northshore.org",
"affiliation": "N",
"address_1": "1777 Green Bay Rd",
"address_2": "Ste 201",
"city": "Highland Park",
"state": "IL",
"country_code": "US",
"postal_code": "600353297",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Highland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.