Organization Active NPI

Lakeview Womens Health SC

  • Obstetrics & Gynecology Physician
  • Chicago, IL
National Provider Identifier
1780662585
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
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

Updated by the provider on Apr 9, 2008

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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
01630320OtherBC/BS
501046OtherADVOCATE

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.