Dean Medical, SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036.085761 Issued in IL

Legal business name

DEAN MEDICAL, SC

Practice address

6501 N. Sauganash
Lincolnwood, IL 60712

Phone

(847) 673-2990

NPI assigned

Jan 4, 2010

Last updated

Jan 4, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Fauzia Wajid Lodhi, MD.

Title

President

Phone

(847) 673-2990

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1262563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262563200000",
    "number": "1922338623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 N. SAUGANASH",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "60712",
            "telephone_number": "847-673-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 N. SAUGANASH",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "60712",
            "telephone_number": "847-673-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEAN MEDICAL, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-04",
        "last_updated": "2010-01-04",
        "status": "A",
        "authorized_official_last_name": "LODHI",
        "authorized_official_first_name": "FAUZIA",
        "authorized_official_middle_name": "WAJID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-673-2990",
        "authorized_official_credential": "MD."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.085761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Dauber, LCSW
• Allie McKenna Daut
• Tracey M Davenport, M.D.
• Itza Davila, MS CCC-SLP
• Elisabeth De Avila, MS, OTR/L
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• Sherlynn Joliet Diaz, BT

• Internal Medicine Physician in Lincolnwood, IL
• Providers in Lincolnwood, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; 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.