Individual provider Active NPI

Lisa Tommi Levick-Doane, DPM

  • Foot & Ankle Surgery Podiatrist
  • Northbrook, IL
National Provider Identifier
1730491465
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016005741 Issued in IL
Practice address
1535 Lake Cook Rd Ste 206
Northbrook, IL 60062-1451
Phone
(224) 723-5588
Fax
(224) 723-5699
NPI assigned
Jul 10, 2010
Last updated
Apr 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 016005741 IL Primary

Addresses

Primary practice location

1535 Lake Cook Rd Ste 206
Northbrook, IL 60062-1451

Mailing address

1535 Lake Cook Rd
Northbrook, IL 60062-1447
Phone (248) 752-7520

Other practice location 1

770 Lee St Ste 101
Des Plaines, IL 60016-6467
Phone (847) 298-5252

Other practice location 2

912 Northwest Hwy Ste G6
Fox River Grove, IL 60021-1925
Phone (847) 639-2525

Other practice location 3

14445 Olive View Drive
Olive View UCLA Med Ctr
Sylmar, CA 91342
Phone (818) 364-3194

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171128003608 IL Practitioner - Podiatry 8729217476 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
R Franklin University of Med & Sci/Chicago Medical School, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1535 Lake Cook Rd
Suite 206
Northbrook, IL 60062-1451
Phone (224) 355-2691

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue54
Removal of skin lesions28
Removal of nail tissue145
Removal or shaving of skin growth43
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016005741ILMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa Levick, DPM, P.C. Podiatrist CurrentSince Dec 1, 2024 Accepting new patients
Podiatry Associates LTD Podiatrist PastSince Apr 28, 1998 Accepting new patients
Ventura Podiatry Group Inc Foot & Ankle Surgery Past Accepting new patients

Locations

1535 Lake Cook Rd
Ste 206
Northbrook, IL 60062
Phone (847) 480-7880

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DCEGDD/Endpoint/DCEGDD

Organizations & group practices 4

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 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": "1278720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1730491465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 LAKE COOK RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621447",
            "telephone_number": "248-752-7520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 LAKE COOK RD STE 206",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621451",
            "telephone_number": "224-723-5588",
            "fax_number": "224-723-5699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "770 Lee St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Des Plaines",
            "state": "IL",
            "postal_code": "600166467",
            "country_code": "US",
            "telephone_number": "847-298-5252",
            "fax_number": "847-298-0891",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "912 Northwest Hwy Ste G6",
            "address_purpose": "LOCATION",
            "city": "Fox River Grove",
            "state": "IL",
            "postal_code": "600211925",
            "country_code": "US",
            "telephone_number": "847-639-2525",
            "fax_number": "847-639-2522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14445 Olive View Drive",
            "address_2": "Olive View UCLA Med Ctr",
            "address_purpose": "LOCATION",
            "city": "Sylmar",
            "state": "CA",
            "postal_code": "91342",
            "country_code": "US",
            "telephone_number": "818-364-3194",
            "fax_number": "818-364-3514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVICK-DOANE",
        "first_name": "LISA",
        "middle_name": "TOMMI",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-10",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

Verify at the official NPI Registry.