Individual provider Active NPI

Debora J Lesnick, CNM

  • Advanced Practice Midwife
  • Wilmette, IL
National Provider Identifier
1992961056
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
209003538 Issued in IL
Practice address
328 Linden Ave
Wilmette, IL 60091-2895
Phone
(847) 475-1224
Fax
(847) 475-0150
NPI assigned
Jul 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 209003538 IL Primary

Addresses

Primary practice location

328 Linden Ave
Wilmette, IL 60091-2895

Mailing address

328 Linden Ave
Wilmette, IL 60091-2895
Phone (847) 475-1224

Other practice location 1

2500 Ridge Ave
Suite 301
Evanston, IL 60201-2455
Phone (847) 475-1224

Other practice location 2

2550 Compass Rd Ste J
Glenview, IL 60026-1610
Phone (847) 998-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240521000154 IL Practitioner - Certified Nurse Midwife (CNM) 8123460383 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
209003538ILMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Together Women'S Health Medical Group of Illinois, PLLC CurrentSince Apr 23, 2024 Accepting new patients
North Shore Associates in Gynecology and Obstetrics, S.C. Past Accepting new patients

Locations

900 N Kingsbury St
Ste 130N
Chicago, IL 60610
Phone (312) 775-1100

2550 Compass Rd
Ste J
Glenview, IL 60026
Phone (847) 998-9600

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1992961056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 LINDEN AVE",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912895",
            "telephone_number": "847-475-1224",
            "fax_number": "847-475-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 LINDEN AVE",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912895",
            "telephone_number": "847-475-1224",
            "fax_number": "847-475-0150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Ridge Ave",
            "address_2": "Suite 301",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602012455",
            "country_code": "US",
            "telephone_number": "847-475-1224",
            "fax_number": "847-475-0150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2550 Compass Rd Ste J",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "600261610",
            "country_code": "US",
            "telephone_number": "847-998-9600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LESNICK",
        "first_name": "DEBORA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-29",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IL",
            "license": "209003538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmette, IL

Sources for this page

Verify at the official NPI Registry.