Active NPI
Lincoln Park OBGYN SC
- Obstetrics & Gynecology Physician
- Chicago, IL
National Provider Identifier
1659595510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- LINCOLN PARK OBGYN SC
- Practice address
- 830 W Diversey Pkwy
Suite 200
Chicago, IL 60614 - Phone
- (773) 880-6064
- Fax
- (773) 880-6107
- NPI assigned
- Apr 12, 2007
- Last updated
- Jun 23, 2008
- 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
- Dr. Yvonne Wolny, MD
- Title
- Physician
- Phone
- (773) 880-6064
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 036106071 | IL | |
| Obstetrics & Gynecology Physician | 207V00000X | NU | Primary |
Addresses
Primary practice location
830 W Diversey Pkwy
Suite 200
Chicago, IL 60614
Mailing address
2650 N Lakeview
Apt 3305
Chicago, IL 60614
Phone (773) 880-6064
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036106071 | Medicaid | IL |
National Provider Directory
National Provider DirectoryLocations
800 W Diversey Pkwy
#200
Chicago, IL 60614
Phone (312) 796-7121
Practitioners & 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.
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1578523155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214179200000",
"number": "1659595510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 N LAKEVIEW",
"address_2": "APT 3305",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60614",
"telephone_number": "773-880-6064",
"fax_number": "773-880-6107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 W DIVERSEY PKWY",
"address_2": "SUITE 200",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60614",
"telephone_number": "773-880-6064",
"fax_number": "773-880-6107"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINCOLN PARK OBGYN SC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-12",
"last_updated": "2008-06-23",
"status": "A",
"authorized_official_last_name": "WOLNY",
"authorized_official_first_name": "YVONNE",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "773-880-6064",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": "036106071",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036106071",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
- Lincoln Park Dialysis Services Inc
- Lincoln Park Eyes LLC
- Lincoln Park Family Physicians SC
- Lincoln Park Heart Center, S.C.
- Lincoln Park Home Health Care, Inc.
- Lincoln Park Open MRI, LLC (Lake Shore Open MRI & CT)
- Lincoln Park Oral & Cosmetic Surgery (Lincoln Park Institute)
- Lincoln Park Orthopedics S.C.
- Lincoln Park Physical Therapy, PLLC
- Lincoln Park Primary Care PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.