Organization Active NPI

Lakeview Family Doctors, LTD

  • Family Medicine Physician
  • Des Plaines, IL
National Provider Identifier
1740340686
Registry record updated Apr 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LAKEVIEW FAMILY DOCTORS, LTD
Practice address
650 W Algonquin Rd
Des Plaines, IL 60016-5768
Phone
(847) 593-2890
Fax
(847) 593-2893
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2015

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

Authorized official

Name
Glenn Allan Weiss, MD
Title
President
Phone
(847) 593-2890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

650 W Algonquin Rd
Des Plaines, IL 60016-5768

Mailing address

650 W Algonquin Rd
Des Plaines, IL 60016-5768
Phone (847) 593-2890

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427932800000",
    "number": "1740340686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 W ALGONQUIN RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600165768",
            "telephone_number": "847-593-2890",
            "fax_number": "847-593-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 W ALGONQUIN RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600165768",
            "telephone_number": "847-593-2890",
            "fax_number": "847-593-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW FAMILY DOCTORS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2015-04-02",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-593-2890",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; 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.