Individual provider Active NPI

Brian K Locker, MD

  • Obstetrics & Gynecology Physician
  • Des Plaines, IL
National Provider Identifier
1679540868
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036089903 Issued in IL
Practice address
9301 Golf Rd Ste 101
Des Plaines, IL 60016-1600
Phone
(847) 318-9350
Fax
(847) 318-2906
NPI assigned
Mar 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036089903 IL Primary

Addresses

Primary practice location

9301 Golf Rd Ste 101
Des Plaines, IL 60016-1600

Mailing address

2801 Lakeside Dr Ste 209
Bannockburn, IL 60015-1271
Phone (847) 562-1410

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address blocker205335@direct.myadvocateaurora.org Direct

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
I20050415000381 IL Practitioner - Obstetrics/Gynecology 7214974781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Rush Medical College of Rush University, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Center for Women'S Healthcare, LTDGroup PAC ID 7012818354, 93 clinicians

Practice addresses (Care Compare)

9301 Golf Rd
Suite 101
Des Plaines, IL 60016-1600
Phone (847) 318-9350

Hospital & facility affiliations

  • Advocate Lutheran General Hospital Hospital, Park Ridge, IL, CCN 140223

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036089903ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Center for Women'S Health Care, LTD. Obstetrics & Gynecology CurrentSince Sep 10, 2007 Accepting new patients
Rush University Medical Group Obstetrics & Gynecology Past Accepting new patients
Midwest Center for Women'S Healthcare, LTD Obstetrics & Gynecology Past Accepting new patients

Locations

2801 Lakeside Dr
Ste 209
Bannockburn, IL 60015
Phone (847) 562-1410

282 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 318-9350

210 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 318-9350

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

9301 Golf Rd
Ste 101
Des Plaines, IL 60016
Phone (847) 296-0303

601 Skokie Blvd
Ste 400
Northbrook, IL 60062
Phone (847) 562-1410

1875 W Dempster St
Ste 145
Park Ridge, IL 60068
Phone (847) 318-9350

350 S Northwest Hwy
Ste 112
Park Ridge, IL 60068
Phone (847) 825-8108

250 Center Dr
Ste 101
Vernon Hills, IL 60061
Phone (847) 918-7050

Interoperability endpoints

  • Direct secure messaging: blocker205335@direct.myadvocateaurora.org
  • Direct secure messaging: brian.locker.1@21117.direct.athenahealth.com

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.

Hospital & facility affiliations 1

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": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1679540868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 LAKESIDE DR STE 209",
            "city": "BANNOCKBURN",
            "state": "IL",
            "postal_code": "600151271",
            "telephone_number": "847-562-1410",
            "fax_number": "847-562-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 GOLF RD STE 101",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161600",
            "telephone_number": "847-318-9350",
            "fax_number": "847-318-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKER",
        "first_name": "BRIAN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036089903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "9301 Golf Rd Ste 101",
            "city": "Des Plaines",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600161600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "blocker205335@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9301 Golf Rd Ste 101",
            "city": "Des Plaines",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600161600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

Verify at the official NPI Registry.