Organization Active NPI

Anne Lidgus Inc

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1922371582
Registry record updated Feb 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.013663 Issued in IL
Legal business name
ANNE LIDGUS INC
Practice address
3950 N Lake Shore Dr Apt 2005
Chicago, IL 60613-5111
Phone
(847) 224-0138
Fax
(312) 284-4923
NPI assigned
Feb 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2012

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

Authorized official

Name
Anne Lidgus
Title
Owner
Phone
(847) 224-0138

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 149.013663 IL Primary

Addresses

Primary practice location

3950 N Lake Shore Dr Apt 2005
Chicago, IL 60613-5111

Mailing address

3950 N Lake Shore Dr Apt 2005
Chicago, IL 60613-5111
Phone (847) 224-0138

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329091200000",
    "number": "1922371582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 N LAKE SHORE DR APT 2005",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606135111",
            "telephone_number": "847-224-0138",
            "fax_number": "312-284-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 N LAKE SHORE DR APT 2005",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606135111",
            "telephone_number": "847-224-0138",
            "fax_number": "312-284-4923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNE LIDGUS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-13",
        "last_updated": "2012-02-13",
        "status": "A",
        "authorized_official_last_name": "LIDGUS",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-224-0138"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.013663",
            "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 Feb 13, 2012; 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.