Active NPI
Lakeview Womens Health SC
- Obstetrics & Gynecology Physician
- Chicago, IL
National Provider Identifier
1780662585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- LAKEVIEW WOMENS HEALTH SC
- Practice address
- 3000 N Halsted
Ste 709
Chicago, IL 60657-5196 - Phone
- (773) 871-1807
- Fax
- (773) 871-9954
- NPI assigned
- Jan 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ilona Marie Carlos, MD
- Title
- President
- Phone
- (773) 871-1807
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | IL | Primary |
Addresses
Primary practice location
3000 N Halsted
Ste 709
Chicago, IL 60657-5196
Mailing address
3000 N Halsted St
Ste 720
Chicago, IL 60657-5188
Phone (773) 871-1807
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01630320 | Other | BC/BS | |
| 501046 | Other | ADVOCATE |
National Provider Directory
National Provider DirectoryLocations
840 W Irving Park Rd
Unit 204
Chicago, IL 60613
Phone (773) 348-8882
3000 N Halsted St
Ste 720
Chicago, IL 60657
Phone (773) 281-6333
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Women's Health Nurse Practitioner
- Chicago, IL
- NPI 1306923370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136246400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207699200000",
"number": "1780662585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 N HALSTED ST",
"address_2": "STE 720",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606575188",
"telephone_number": "773-871-1807",
"fax_number": "773-871-9954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 N HALSTED",
"address_2": "STE 709",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606575196",
"telephone_number": "773-871-1807",
"fax_number": "773-871-9954"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKEVIEW WOMENS HEALTH SC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-03",
"last_updated": "2008-04-09",
"status": "A",
"authorized_official_last_name": "CARLOS",
"authorized_official_first_name": "ILONA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "773-871-1807",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "01630320",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADVOCATE",
"identifier": "501046",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.