Active NPI
Mali Lin, MD
- Obstetrics & Gynecology Physician
- Elmhurst, IL
National Provider Identifier
1831297548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 036057961
- Practice address
- 386 N York Rd
Suite 201
Elmhurst, IL 60126-2367 - Phone
- (630) 832-6711
- Fax
- (630) 832-6855
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 036-057961 | IL | |
| Obstetrics & Gynecology Physician | 207V00000X | 036057961 | IL | Primary |
Addresses
Primary practice location
386 N York Rd
Suite 201
Elmhurst, IL 60126-2367
Mailing address
386 N York Road
Suite 201
Elmhurst, IL 60126-2367
Phone (630) 832-6711
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036057961 | Medicaid | IL | |
| 02201203 | Other | IL | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036057961 | IL | MD | Obstetrics & Gynecology Physician |
| 036-057961 | IL | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Lin and Associates S C | Obstetrics & Gynecology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Obstetrics & Gynecology Physician
- Elmhurst, IL
- NPI 1952409559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246492800000",
"number": "1831297548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "386 N YORK ROAD",
"address_2": "SUITE 201",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601262367",
"telephone_number": "630-832-6711",
"fax_number": "630-832-6855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "386 N YORK RD",
"address_2": "SUITE 201",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601262367",
"telephone_number": "630-832-6711",
"fax_number": "630-832-6855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIN",
"first_name": "MALI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2009-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "IL",
"license": "036-057961",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": "036057961",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036057961",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "02201203",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elmhurst, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.