Individual provider Active NPI

Amanda Lund, DO

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Chicago, IL
National Provider Identifier
1578746533
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
278065 Issued in IL
Practice address
332 S Michigan Ave Ste 100
Chicago, IL 60604-4434
Phone
(312) 520-5758
NPI assigned
Dec 13, 2007
Last updated
Mar 21, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 49344 CO
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 5795348-1204 UT
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 278065 IL Primary

Addresses

Primary practice location

332 S Michigan Ave Ste 100
Chicago, IL 60604-4434

Mailing address

332 S Michigan Ave Ste 100
Chicago, IL 60604-4434
Phone (312) 520-5758

Other practice location 1

4674 Snow Mesa Dr
Suite 100
Fort Collins, CO 80528-8615
Phone (970) 482-3712

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
I20141020000551 IL Practitioner - Hospice/Palliative CarePractitioner - Geriatric Medicine 6204916950 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5795348-1204UTMDGeriatric Medicine (Internal Medicine) Physician
278065ILMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Hospice of Chicagoland LLC Hospice and Palliative Medicine CurrentSince Sep 3, 2024 Accepting new patients
Poudre Valley Medical Group, LLC Past Accepting new patients
U-U Human Development Division Internal Medicine PastSince Sep 4, 1997 Accepting new patients

Locations

3232 S King Dr
Chicago, IL 60616
Phone (866) 727-1539

600 W Cermak Rd
Ste 3D
Chicago, IL 60616
Phone (312) 427-6000

4101 Main St
Skokie, IL 60076
Phone (312) 847-2458

Interoperability endpoints

  • Direct secure messaging: amanda.lund.1@3569.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521590400000",
    "number": "1578746533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 S MICHIGAN AVE STE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606044434",
            "telephone_number": "312-520-5758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 S MICHIGAN AVE STE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606044434",
            "telephone_number": "312-520-5758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4674 Snow Mesa Dr",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805288615",
            "country_code": "US",
            "telephone_number": "970-482-3712",
            "fax_number": "970-482-4057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUND",
        "first_name": "AMANDA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-13",
        "last_updated": "2018-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "49344",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "UT",
            "license": "5795348-1204",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "IL",
            "license": "278065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.