Active NPI
Lauren Saxe, MD
- Ophthalmology Physician
- Homewood, IL
National Provider Identifier
1700822590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 036079170
- Practice address
- 18440 Governors Hwy
Homewood, IL 60430-2911 - Phone
- (708) 798-2191
- Fax
- (708) 798-2317
- NPI assigned
- Jun 21, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 036079170 | IL | Primary |
Addresses
Primary practice location
18440 Governors Hwy
Homewood, IL 60430-2911
Mailing address
18440 Governors Hwy
Homewood, IL 60430-2911
Phone (708) 798-2191
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L64595 | Other | IL | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036079170 | IL | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278892800000",
"number": "1700822590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18440 GOVERNORS HWY",
"city": "HOMEWOOD",
"state": "IL",
"postal_code": "604302911",
"telephone_number": "708-798-2191",
"fax_number": "708-798-2317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18440 GOVERNORS HWY",
"city": "HOMEWOOD",
"state": "IL",
"postal_code": "604302911",
"telephone_number": "708-798-2191",
"fax_number": "708-798-2317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAXE",
"first_name": "LAUREN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-21",
"last_updated": "2010-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IL",
"license": "036079170",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "L64595",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Homewood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.