Individual provider Active NPI

Jessica Lue-Lai, M.D.

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1538478565
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036141109 Issued in IL
Practice address
415 N Lasalle Street
Suite 100
Chicago, IL 60654
Phone
(312) 219-2231
Fax
(312) 219-2239
NPI assigned
Sep 24, 2010
Last updated
Jul 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 100669 MD
Family Medicine Physician 207Q00000X 036141109 IL Primary

Addresses

Primary practice location

415 N Lasalle Street
Suite 100
Chicago, IL 60654

Mailing address

1931 N Halsted St
Chicago, IL 60614-5008
Phone (312) 219-2231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160831001555 IL Practitioner - Family Practice 2466694005 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Maryland School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
One Medical Group IncGroup PAC ID 2567623739, 330 clinicians

Practice addresses (Care Compare)

730 Waukegan Rd
Deerfield, IL 60015-4304
Phone (888) 663-6331

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
100669MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lawndale Christian Health Center CurrentSince Nov 5, 2016 Accepting new patients
One Medical Group, Inc. Family Medicine CurrentSince Nov 1, 2022 Accepting new patients
Lawndale Christian Health Center CurrentSince Nov 5, 2016 Accepting new patients
Lawndale Christian Health Center Current Accepting new patients
One Medical Group, Inc Family Medicine CurrentSince Nov 1, 2022 Accepting new patients
Rush Oak Park Physicians Group Lake Street Family Medicine Past Accepting new patients

Locations

181 W Madison St
Ste 3825
Chicago, IL 60602
Phone (312) 999-5510

1931 N Halsted St
Chicago, IL 60614
Phone (312) 998-5510

3860 W Ogden Ave
Chicago, IL 60623
Phone (872) 588-3000

4696 Paysphere Cir
Chicago, IL 60674

730 Waukegan Rd
Deerfield, IL 60015

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1538478565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 N HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606145008",
            "telephone_number": "312-219-2231",
            "fax_number": "312-219-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N LASALLE STREET",
            "address_2": "SUITE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60654",
            "telephone_number": "312-219-2231",
            "fax_number": "312-219-2239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUE-LAI",
        "first_name": "JESSICA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-24",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "100669",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036141109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.