Individual provider Active NPI

Janina Langiewicz, MD

  • Pediatrics Physician
  • South Barrington, IL
National Provider Identifier
1700982030
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
336042193 Issued in IL
Practice address
1 Executive CT
Suite 3
South Barrington, IL 60010-9533
Phone
(847) 304-6555
Fax
(847) 304-6888
NPI assigned
Sep 15, 2006
Reactivated
Jan 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 336042193 IL Primary

Addresses

Primary practice location

1 Executive CT
Suite 3
South Barrington, IL 60010-9533

Mailing address

1 Executive CT
Suite 3
South Barrington, IL 60010-9533
Phone (847) 304-6555

Other identifiers 4

IdentifierTypeStateIssuer
1605500OtherBCBS
364060088OtherPPO INSURANCE
036079176MedicaidIL
MP40581OtherPRONATIONAL

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
336042193ILMDPediatrics Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1700982030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EXECUTIVE CT",
            "address_2": "SUITE 3",
            "city": "SOUTH BARRINGTON",
            "state": "IL",
            "postal_code": "600109533",
            "telephone_number": "847-304-6555",
            "fax_number": "847-304-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EXECUTIVE CT",
            "address_2": "SUITE 3",
            "city": "SOUTH BARRINGTON",
            "state": "IL",
            "postal_code": "600109533",
            "telephone_number": "847-304-6555",
            "fax_number": "847-304-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGIEWICZ",
        "first_name": "JANINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2019-01-22",
        "deactivation_date": "2018-10-09",
        "reactivation_date": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "336042193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1605500",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPO INSURANCE",
            "identifier": "364060088",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036079176",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRONATIONAL",
            "identifier": "MP40581",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Barrington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.