Mariam Lakhdhir

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085009469 Issued in IL

Practice address

3755 Salem Walk
Northbrook, IL 60062-8566

Phone

(224) 619-5281

NPI assigned

Mar 27, 2023

Last updated

Mar 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allure Urogynecology PLLCGroup PAC ID 6709234081, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Allure Urogynecology PLLC

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Deer Park, IL
  • NPI 1831871987
  Medicare reassignment Care Compare group
• Dupage Psychiatric Care PLLC

  • Psychiatry Physician
  • Oak Park, IL
  • NPI 1801465695
  Medicare reassignment
• Renew Wound Care of Illinois PLLC

  • Internal Medicine Physician
  • Naperville, IL
  • NPI 1578146882
  Medicare reassignment
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  IL

  Medicare reassignment
• Rangsons Healthcare, PLLC

  dba Mindful TMS

  • Behavioral Neurology & Neuropsychiatry Physician
  • Hinsdale, IL
  • NPI 1144716457
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Central Dupage Hospital Association

  dba Northwestern Medicine Central Dupage Hospital

  • General Acute Care Hospital
  • Winfield, IL
  • NPI 1003864810
  Care Compare affiliation
• Central Dupage Hospital Association

  dba Northwestern Medicine Central Dupage Hospital

  • Psychiatric Hospital Unit
  • Winfield, IL
  • NPI 1740230895
  Care Compare affiliation

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1790489748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3755 SALEM WALK",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600628566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 SALEM WALK",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600628566",
            "telephone_number": "224-619-5281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKHDHIR",
        "first_name": "MARIAM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085009469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alessandra Lagos, PHARMD
• James G Lahti, M.D.
• Lake Cook Terrace Nursing Center (Lake Cook Health & Rehab Center)
• Lake Shore Therapy Group
• Lakeshore Psychology Group LLC
• Mohsina T. Laliwala, MD
• Cheikh Lam
• Ashley Lambert, M.S.
• Abby Lampos, OT
• Mallori Lancaster, DPT

• Physician Assistant in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.