Organization Active NPI

Lurie Children'S Medical Group, LLC

  • Pediatrics Physician
  • Chicago, IL
National Provider Identifier
1992758544
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
LURIE CHILDREN'S MEDICAL GROUP, LLC
Practice address
225 E Chicago Ave
Chicago, IL 60611-2991
Phone
(800) 543-7362
NPI assigned
May 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Authorized official

Name
Ms. Cheryl Withers, CPCS
Title
Dir Credentialing & Enrollment
Phone
(312) 227-6415

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Pathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZP0213X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X
Neuroradiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085N0700X
Pediatric Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085P0229X

Addresses

Primary practice location

225 E Chicago Ave
Chicago, IL 60611-2991

Mailing address

225 E Chicago Ave
Box 118
Chicago, IL 60611-2991
Phone (312) 227-6412

Other names 1

  • LCMG Doing business as

National Provider Directory

National Provider Directory

Locations (25 of 32)

880 W Central Rd
Ste 77
Arlington Heights, IL 60005

Carol Stream, IL 60122

Carol Stream, IL 60122

Carol Stream, IL 60122

225 E Chicago Ave
#45
Chicago, IL 60611
Phone (312) 227-4190

2515 N Clark St
Fl 7
Chicago, IL 60614
Phone (312) 227-6240

303 E Chicago Ave
Chicago, IL 60611
Phone (312) 503-8194

6501 S Promontory Dr
Chicago, IL 60649
Phone (773) 256-5724

467 W Deming Pl
Fl 6
Chicago, IL 60614

225 E Chicago Ave
#75
Chicago, IL 60611
Phone (312) 227-6050

225 E Chicago Ave
#37
Chicago, IL 60611
Phone (312) 227-6160

225 E Chicago Ave
#10
Chicago, IL 60611
Phone (312) 227-3460

225 E Chicago Ave
#118
Chicago, IL 60611

676 N Saint Clair St
Ste 14200B
Chicago, IL 60611

225 E Chicago Ave
Rm 17
Chicago, IL 60611

2515 N Clark St
Ste 805
Chicago, IL 60614

225 E Chicago Ave
#9
Chicago, IL 60611
Phone (312) 227-4500

750 N Lake Shore Dr
Chicago, IL 60611
Phone (248) 762-8373

225 E Chicago Ave
Fl 18
Chicago, IL 60611

467 W Deming Pl
Ste 6000
Chicago, IL 60614
Phone (312) 227-6450

2515 N Clark St
Ste 600
Chicago, IL 60614

1440 N Dayton St
Fl 2
Chicago, IL 60642
Phone (312) 227-3449

2515 N Clark St
Ste 7
Chicago, IL 60614

225 E Chicago Ave
Fl 6
Chicago, IL 60611

300 Randall Rd
Bldg 302LCMG
Geneva, IL 60134

Practitioners & affiliated clinicians

Practitioners 692

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

View all 692

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1992758544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E CHICAGO AVE",
            "address_2": "BOX 118",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112991",
            "telephone_number": "312-227-6412",
            "fax_number": "312-227-9409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112991",
            "telephone_number": "800-543-7362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LURIE CHILDREN'S MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "WITHERS",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "DIR CREDENTIALING & ENROLLMENT",
        "authorized_official_telephone_number": "312-227-6415",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPCS"
    },
    "taxonomies": [
        {
            "code": "207ZP0213X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Pediatric Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Neuroradiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Pediatric Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LCMG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 24, 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.