Individual provider Active NPI

Lisa Babin, MD

  • Adult Medicine Physician
  • Long Grove, IL
National Provider Identifier
1639527229
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
036152968 Issued in IL
Practice address
3880 Salem Lake Dr Ste F
Long Grove, IL 60047-5292
Phone
(847) 719-2220
Fax
(847) 719-2265
NPI assigned
May 25, 2016
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 4301109759 MI
Adult Medicine Physician 207QA0505X 036152968 IL Primary

Addresses

Primary practice location

3880 Salem Lake Dr Ste F
Long Grove, IL 60047-5292

Mailing address

3880 Salem Lake Dr Ste F
Long Grove, IL 60047-5292
Phone (847) 719-2220

Other identifiers 1

IdentifierTypeStateIssuer
036152968MedicaidIL

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
I20201007001688 IL Practitioner - Family Practice 2264724871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1775 W Dempster St
Park Ridge, IL 60068-1143
Phone (847) 723-5095

4440 W 95TH St
Oak Lawn, IL 60453-2600
Phone (708) 684-8000

450 W Hwy 22
Barrington, IL 60010-1919
Phone (847) 381-9600

800 W Central Rd
Arlington Heights, IL 60005-2349
Phone (847) 618-1000

801 S Milwaukee Ave
Libertyville, IL 60048-3204
Phone (847) 362-2900

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Almasri and Associates Inc. CurrentSince Sep 1, 2020 Accepting new patients
Best Practices Inpatient Care,LTD CurrentSince Nov 25, 2021 Accepting new patients
Best Practices Inpatient Care, LTD. Adult Medicine CurrentSince Nov 25, 2021 Accepting new patients
Mymichigan Medical Center Midland Family Medicine Past Accepting new patients
Mymichigan Medical Center Midland Past Accepting new patients

Locations

800 W Central Rd
Arlington Hts, IL 60005
Phone (847) 618-6150

106 Barrington Commons Ct
Unit 1790
Barrington, IL 60011
Phone (847) 719-2220

3880 Salem Lake Dr
Ste F
Long Grove, IL 60047
Phone (847) 719-2220

12632 S Harlem Ave
Palos Heights, IL 60463
Phone (708) 587-0000

450 W State Route 22
South Barrington, IL 60010
Phone (847) 381-0123

Organizations & group practices 5

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 6

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": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1639527229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3880 SALEM LAKE DR STE F",
            "city": "LONG GROVE",
            "state": "IL",
            "postal_code": "600475292",
            "telephone_number": "847-719-2220",
            "fax_number": "847-719-2265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 SALEM LAKE DR STE F",
            "city": "LONG GROVE",
            "state": "IL",
            "postal_code": "600475292",
            "telephone_number": "847-719-2220",
            "fax_number": "847-719-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABIN",
        "first_name": "LISA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-25",
        "last_updated": "2023-03-07",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301109759",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "IL",
            "license": "036152968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036152968",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Grove, IL

Sources for this page

Verify at the official NPI Registry.