Individual provider Active NPI

Jeffrey Lurie, MD

  • Psychiatry Physician
  • Chicago, IL
National Provider Identifier
1881088987
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036.144232 Issued in IL
Practice address
1820 W Webster Ave Ste 304
Chicago, IL 60614-4892
Phone
(773) 253-9002
NPI assigned
Mar 26, 2015
Last updated
Nov 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036.144232 IL Primary

Addresses

Primary practice location

1820 W Webster Ave Ste 304
Chicago, IL 60614-4892

Mailing address

1820 W Webster Ave Ste 304
Chicago, IL 60614-4892
Phone (773) 253-9002

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

LicenseStateTypeSpecialty
036.144232ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wibeto Practice PLLC Psychiatry CurrentSince Nov 12, 2023 Accepting new patients
Advanced TMS Clinic Inc Psychiatry CurrentSince May 24, 2020 Accepting new patients

Locations

610 Euclid Ave
Ste 200
National City, CA 91950
Phone (619) 267-9257

1820 W Webster Ave
Ste 304
Chicago, IL 60614
Phone (773) 253-9002

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1881088987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 W WEBSTER AVE STE 304",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606144892",
            "telephone_number": "773-253-9002",
            "fax_number": "773-253-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 W WEBSTER AVE STE 304",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606144892",
            "telephone_number": "773-253-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LURIE",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-26",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036.144232",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 6, 2023; 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.