Individual provider Active NPI

Monika Lastowiecka, M.D.

  • Internal Medicine Physician
  • Hoffman Estates, IL
National Provider Identifier
1750363222
Registry record updated Feb 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
36-095193 Issued in IL
Practice address
2500 W Higgins Rd,
Suite 640
Hoffman Estates, IL 60169
Phone
(847) 895-0440
NPI assigned
Nov 18, 2005
Last updated
Feb 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 36-095193 IL Primary

Addresses

Primary practice location

2500 W Higgins Rd,
Suite 640
Hoffman Estates, IL 60169

Mailing address

1439 W Schaumburg Rd
Schaumburg, IL 60194-4051
Phone (847) 895-0440

Other practice location 1

1439 W Schaumburg Rd
Schaumburg, IL 60194-4051
Phone (847) 895-0440

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
I20050404000515 IL Practitioner - Internal Medicine 7012964943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Schaumburg Medicine and EndocrinologyGroup PAC ID 9133176068, 2 clinicians

Practice addresses (Care Compare)

2500 W Higgins Rd
Suite 640
Hoffman Estates, IL 60169-2046
Phone (847) 895-0440

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36-095193ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Schaumburg Medicine and Endocrinology CurrentSince Jan 1, 2001 Accepting new patients

Locations

2500 W Higgins Rd
Ste 640
Hoffman Estates, IL 60169
Phone (847) 884-0906

1439 W Schaumburg Rd
Schaumburg, IL 60194
Phone (847) 895-0440

Organizations & group practices 1

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 6

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": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550880000000",
    "number": "1750363222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1439 W SCHAUMBURG RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601944051",
            "telephone_number": "847-895-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W HIGGINS RD,",
            "address_2": "SUITE 640",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "60169",
            "telephone_number": "847-895-0440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1439 W Schaumburg Rd",
            "address_purpose": "LOCATION",
            "city": "Schaumburg",
            "state": "IL",
            "postal_code": "601944051",
            "country_code": "US",
            "telephone_number": "847-895-0440",
            "fax_number": "630-894-0492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LASTOWIECKA",
        "first_name": "MONIKA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-18",
        "last_updated": "2019-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "36-095193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

Verify at the official NPI Registry.