Covid Diagnostics

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

COVID DIAGNOSTICS

Doing business as

Covid Diagnostics

Practice address

1186 Northbrook CT
Northbrook, IL 60062-1435

Phone

(847) 496-0949

NPI assigned

Sep 14, 2021

Last updated

Sep 25, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amy Lee, LCSWNPI 1023430063

Title

Outreach Director

Phone

(773) 699-0037

Specialties & licenses 1

Addresses

Other names 1

• COVID DIAGNOSTICS Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amy Maura Lee, LCSW

  • Clinical Social Worker
  • Western Springs, IL
  • NPI 1023430063
  Authorized official Same address or phone

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632528000000",
    "number": "1770253510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1186 NORTHBROOK CT",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621435",
            "telephone_number": "847-496-0949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1186 NORTHBROOK CT",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621435",
            "telephone_number": "847-496-0949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVID DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-25",
        "certification_date": "2021-09-25",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OUTREACH DIRECTOR",
        "authorized_official_telephone_number": "773-699-0037",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COVID DIAGNOSTICS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "COVID DIAGNOSTICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pamela Costis, LCSW
• Lisa Cotler, LPC
• Sheldon Cotler, PH.D.
• Courtney Mary Bernice Council
• Covenant Health Care Center, Inc (Brandel Health and Rehab)
• John E Covington
• Carly Cowin
• Alexandra Cox
• Faith Anne Crager
• John Cram, RN, MSN

• Clinic/Center in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2021; 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.