Organization Active NPI

Dr Lin and Associates S C

  • Obstetrics & Gynecology Physician
  • Elmhurst, IL
National Provider Identifier
1952409559
Registry record updated Jun 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036-057961 Issued in IL
Legal business name
DR LIN AND ASSOCIATES S C
Practice address
386 N York St
Ste 201
Elmhurst, IL 60126-2363
Phone
(630) 832-6711
Fax
(630) 832-6855
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2009

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

Authorized official

Name
Dr. Mali Lin, M.D.NPI 1831297548
Title
Owner
Phone
(630) 832-6711

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X 036-057961 IL Primary

Addresses

Primary practice location

386 N York St
Ste 201
Elmhurst, IL 60126-2363

Mailing address

386 N York St
Ste 201
Elmhurst, IL 60126-2363
Phone (630) 832-6711

Other identifiers 4

IdentifierTypeStateIssuer
036057961MedicaidIL
210201OtherILMEDICARE
02201203OtherILBLUE CROSS
CI8071OtherILRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245801600000",
    "number": "1952409559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "386 N YORK ST",
            "address_2": "STE 201",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262363",
            "telephone_number": "630-832-6711",
            "fax_number": "630-832-6855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 N YORK ST",
            "address_2": "STE 201",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262363",
            "telephone_number": "630-832-6711",
            "fax_number": "630-832-6855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR LIN AND ASSOCIATES S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2009-06-24",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "MALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-832-6711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036-057961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036057961",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "210201",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "02201203",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CI8071",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; 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.