Lorraine Black, BCD, CBE, PE, SBD

Primary specialty

DoulaTaxonomy code 374J00000X

Practice address

1427 Acorn Dr
North Chicago, IL 60064-1764

Phone

(708) 522-7150

NPI assigned

Oct 4, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1942925847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N MILWAUKEE AVE # 1062",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611574",
            "telephone_number": "708-522-7150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 ACORN DR",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "600641764",
            "telephone_number": "708-522-7150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "LORRAINE",
        "credential": "BCD, CBE, PE, SBD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Doula",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "88-1904965",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amrit V Bhaskarla, D.O.
• Shruthi Bhuma
• Peter Alexander Bidny, D.D.S.
• Liz Bien-Aime
• Alisia Big
• Bernhard Emile Blom, PH.D.
• Annette Facinelli Boban, PA-C
• Jessica Marie Boh, PHARMD
• Terri Bohlman, MSW
• Kimberly Boit

• Doula in North Chicago, IL
• Providers in North Chicago, IL by specialty
• Doula in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.