Active NPI
Lincoln Square Medical Associates, LTD.
- Hematology & Oncology Physician
- Chicago, IL
National Provider Identifier
1588709281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- Legal business name
- LINCOLN SQUARE MEDICAL ASSOCIATES, LTD.
- Practice address
- 5140 N California Ave
Suite 115
Chicago, IL 60625-3645 - Phone
- (773) 989-3803
- Fax
- (773) 878-5726
- NPI assigned
- Feb 20, 2007
- Last updated
- May 24, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Olga Zuk, MD
- Title
- President
- Phone
- (773) 385-6529
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | Primary |
Addresses
Primary practice location
5140 N California Ave
Suite 115
Chicago, IL 60625-3645
Mailing address
6923 W Shakespeare Ave
#2
Chicago, IL 60707-3355
Phone (773) 385-6529
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K36740 | Other | IL | MEDICARE PROVIDER ID |
| 036070498 | Medicaid | IL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Hematology & Oncology Physician
- Chicago, IL
- NPI 1326046681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1306195200000",
"number": "1588709281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6923 W SHAKESPEARE AVE",
"address_2": "#2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "607073355",
"telephone_number": "773-385-6529",
"fax_number": "773-385-6673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5140 N CALIFORNIA AVE",
"address_2": "SUITE 115",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606253645",
"telephone_number": "773-989-3803",
"fax_number": "773-878-5726"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINCOLN SQUARE MEDICAL ASSOCIATES, LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-20",
"last_updated": "2011-05-24",
"status": "A",
"authorized_official_last_name": "ZUK",
"authorized_official_first_name": "OLGA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "773-385-6529",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER ID",
"identifier": "K36740",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036070498",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
- Lincoln Park Terrace, Inc.
- Lincoln Park Therapy Group
- Lincoln Pediatric Center, PC
- Lincoln Smiles Family Dentistry
- Lincoln Square Dental Associates, LTD.
- Lincoln Square Mindful Therapy
- Lincoln Square Optical
- Lincoln Square Orthodontics
- Renetta Denise Lincoln-Stallworth, LPN
- Christy Ann Lincoln, LCPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.