Lisa Oldson, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036-094872 Issued in IL

Practice address

5250 Old Orchard Rd Ste 300
Skokie, IL 60077-4462

Phone

(773) 814-8598

Fax

(847) 983-3401

NPI assigned

Jul 4, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northwestern Memorial Physicians Group

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1538111299
  NPD

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1588694707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 GREGORY AVE",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600913419",
            "telephone_number": "773-814-8598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 OLD ORCHARD RD STE 300",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600774462",
            "telephone_number": "773-814-8598",
            "fax_number": "847-983-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLDSON",
        "first_name": "LISA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-094872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-094872",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Old Orchard Dental Group P.C.
• Old Orchard Endodontics
• Old Orchard Health Medical and Rehab Ctr LTD
• Old Orchard Obstetrics&Gynecology, S.C.
• Old Orchard Periodontics & Implant Dentistry LTD
• Margaret M Oleary, DPT
• Alisa L Oler, RDN
• Mary Oleszek, M.S., CCC-SLP
• Muna Oli
• Pranita Oli

• Internal Medicine Physician in Skokie, IL
• Providers in Skokie, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.