Individual provider Active NPI

Oren Joshua Lakser, M.D.

  • Pediatric Pulmonology Physician
  • Chicago, IL
National Provider Identifier
1811098965
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
License
036-102877 Issued in IL
Practice address
225 E Chicago Ave # 43
Chicago, IL 60611-2991
Phone
(312) 227-6260
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Pulmonology Physician 2080P0214X 036102877 IL
Pediatric Pulmonology Physician 2080P0214X 036-102877 IL Primary

Addresses

Primary practice location

225 E Chicago Ave # 43
Chicago, IL 60611-2991

Mailing address

225 E Chicago Ave # 43
Chicago, IL 60611-2991
Phone (312) 227-6260

Other practice location 1

701 Woodlands Pkwy
Suite 200
Vernon Hills, IL 60061-3101
Phone (847) 793-5450

Other practice location 2

900 N Westmoreland Rd Ste 110
Lake Forest, IL 60045-1688
Phone (312) 227-1010

Other identifiers 2

IdentifierTypeStateIssuer
1811098965MedicaidWI
036102877MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-102877ILMDPediatric Pulmonology Physician
036102877ILMDPediatric Pulmonology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lurie Children'S Medical Group Inc CurrentSince Mar 16, 2020 Accepting new patients
Children'S Hospital of Wisconsin Clinics-Vernon Hills Past Accepting new patients
Childrens Physician Group PC Past Accepting new patients

Locations

Claims Remittance
Carol Stream, IL 60122

225 E Chicago Ave
Chicago, IL 60611
Phone (312) 227-6415

225 E Chicago Ave
#43
Chicago, IL 60611
Phone (312) 227-6260

737 N Michigan Ave
Ste 2040
Chicago, IL 60611

900 N Westmoreland Rd
Ste 110
Lake Forest, IL 60045
Phone (312) 227-1010

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1811098965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E CHICAGO AVE # 43",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112991",
            "telephone_number": "312-227-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E CHICAGO AVE # 43",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112991",
            "telephone_number": "312-227-6260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Woodlands Pkwy",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Vernon Hills",
            "state": "IL",
            "postal_code": "600613101",
            "country_code": "US",
            "telephone_number": "847-793-5450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 N Westmoreland Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Lake Forest",
            "state": "IL",
            "postal_code": "600451688",
            "country_code": "US",
            "telephone_number": "312-227-1010",
            "fax_number": "312-227-9061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAKSER",
        "first_name": "OREN",
        "middle_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "IL",
            "license": "036102877",
            "primary": false
        },
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "IL",
            "license": "036-102877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811098965",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036102877",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.