Active NPI
Larisa Daina Jesinskis, M.D.
- Pediatrics Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036137904
- Practice address
- 5215 N California Ave Ste 700
Chicago, IL 60625-8562 - Phone
- (312) 666-3494
- NPI assigned
- Jun 14, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 125060887 | IL | |
| Pediatrics Physician | 208000000X | 036137904 | IL | Primary |
Addresses
Primary practice location
5215 N California Ave Ste 700
Chicago, IL 60625-8562
Mailing address
1701 W Superior St
Chicago, IL 60622-5646
Phone (312) 666-3494
Other names 1
- Larisa Daina Lizenbergs
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036137904 | IL | MD | Pediatrics Physician |
| 125060887 | IL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erie Family Health Center Inc | Current | Accepting new patients | |
| Erie Family Health Center, Inc | Current | Accepting new patients | |
| Erie Family Health Center Inc | Current | Accepting new patients |
Locations
1504 S Albany Ave
Chicago, IL 60623
5215 N California Ave
Ste 700
Chicago, IL 60625
Phone (847) 691-0404
1701 W Superior St
Chicago, IL 60622
Phone (312) 432-7392
1701 W Superior St
Fl 3
Chicago, IL 60622
Phone (312) 432-7381
1701 W Superior St
#2
Chicago, IL 60622
5215 N California Ave
Ste F700
Chicago, IL 60625
Interoperability endpoints
- ljesinskis368571@direct.ochin.org
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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1760499545
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1548062318
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1851712053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628553600000",
"number": "1609138643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 W SUPERIOR ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606225646",
"telephone_number": "312-666-3494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5215 N CALIFORNIA AVE STE 700",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606258562",
"telephone_number": "312-666-3494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JESINSKIS",
"first_name": "LARISA",
"middle_name": "DAINA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-14",
"last_updated": "2021-08-10",
"certification_date": "2021-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "125060887",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036137904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LARISA",
"last_name": "LIZENBERGS",
"middle_name": "DAINA",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.