Sentinel Medical Laboratories

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SENTINEL MEDICAL LABORATORIES

Practice address

3500 W Devon Ave Unit 100
Lincolnwood, IL 60712-1300

Phone

(847) 410-7561

Fax

(847) 410-7562

NPI assigned

Feb 25, 2022

Organization subpart

No

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

Authorized official

Name

Ibrahim Hussain

Title

Member Manager

Phone

(312) 678-8999

Specialties & licenses 1

Addresses

Other names 1

• SEASONS LABCORP LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Azam Saeed, DMD

  • Dentist
  • Lombard, IL
  • NPI 1750718946
  NPD

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

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1902552169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 W DEVON AVE UNIT 100",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121300",
            "telephone_number": "847-410-7561",
            "fax_number": "847-410-7562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 W DEVON AVE UNIT 100",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121300",
            "telephone_number": "847-410-7561",
            "fax_number": "847-410-7562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTINEL MEDICAL LABORATORIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-25",
        "last_updated": "2023-08-03",
        "certification_date": "2023-07-25",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "312-678-8999"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SEASONS LABCORP LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "SEASONS LABCORP LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Arnold R Schlansky, RPH
• Michael Lee Schmerman, D.D.S.
• Marna Schreiber, OTR/L
• Ashley M Sciaccotta, RBT
• Senior Care Therapy of Illinois, LLC
• Eonjung Seo
• Carrie Shacter, MS CCC-SLP
• Denise M Shaeffer, PH.D.
• Ami Steve Shah, PT
• Jaimin Shah, DPT

• Clinical Medical Laboratory in Lincolnwood, IL
• Providers in Lincolnwood, IL by specialty
• Clinical Medical Laboratory in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.