Lyna Massih – Pediatric Adolescent Medicine Physician

Key facts

NPI: 1912930348
Entity type: Individual (NPI type 1)
Primary specialty: Pediatric Adolescent Medicine Physician 2080A0000X
License: 036-079532 (IL)
Practice address: 16505 106TH CT
Orland Park, IL 60467-4522
Phone: (708) 364-1550
Fax: (708) 364-1468
NPI assigned: Jul 9, 2006
Sex: Female
Sole proprietor: Yes

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.

Childrens Wellness Center LLC Pediatric Adolescent Medicine Physician · Orland Park, IL · NPI 1578748067

NPD (past) ADOLESCENT MEDICINE

Medicare participation

Medicare fee-for-service enrollment: Enrolled in IL
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20160719001382	IL	Order and Referring Only - Pediatric Medicine Practitioner - Pediatric Medicine	9133412802

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
036-079532	IL	MD	Pediatric Adolescent Medicine Physician

Practice roles

Organization	Specialty	Status	New patients
Childrens Wellness Center LLC	Adolescent Medicine	Past since Jul 22, 2025	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pediatric Adolescent Medicine Physician	2080A0000X	036-079532	IL	Yes

Addresses

Primary practice location

16505 106TH CT
Orland Park, IL 60467-4522

Mailing address

16505 106TH CT
Orland Park, IL 60467-4522
Phone (708) 364-1550

Other identifiers

Identifier	Type	State	Issuer
036-079532	Other	IL	PROFESSIONAL LICENSE

Electronic endpoints

Type	Endpoint	Use	Affiliation
Direct Messaging Address	lmassih279834@direct.myadvocateaurora.org	Direct
FHIR URL	https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Other providers in Orland Park, IL

All providers in Orland Park, IL · Pediatric Adolescent Medicine Physician in Illinois

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2026. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.