LINCOLN ADVANCED DIAGNOSTICS, LLC (NPI# 1063855500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063855500 |
| Entity Type | Organization |
| Organization Name | LINCOLN ADVANCED DIAGNOSTICS, LLC |
| Practice Address |
5354 N Lincoln Ave Chicago IL 60625-2316 |
| Practice Telephone | 7733535047 |
| Practice Fax Number | 3124651402 |
| Mailing Telephone | 7733535047 |
| Mailing Fax Number | 3124651402 |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2013-04-15 |
| Authorized Official Name | DR. MOHAMMAD KHAMIS (PRESIDENT) |
| Authorized Official Telephone | 7733535047 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
IL | Ambulatory Health Care Facilities |
| Street Address |
5354 N LINCOLN AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60625-2316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726615 | B Wise Rehabilitation Pllc | Physical Therapist | 4754 N Lincoln Ave, Fl 1, Chicago, IL 60625 | 2020-10-07 |
| 1700490448 | Anita Saini | Pharmacist | 5140 N California Ave, Chicago, Il 60625, Chicago, IL 60625 | 2020-09-01 |
| 1699303164 | Marina Karamanis | Student in an Organized Health Care Education/Training Program | Swedish Hospital, 5140 N. California Ave, Chicago, IL 60625 | 2020-03-31 |
| 1063050227 | Jacqueline Guadalupe Saldana | Behavioral Analyst | 8616 W Catalpa Ave, Suite 1106, Chicago, IL 60625 | 2019-12-18 |
| 1912557802 | Six Senses Therapy LLC | Social Worker | 2334 W. Lawrence Avenue, Suite 204c, Chicago, IL 60625 | 2019-09-13 |
| 1982266110 | Noreen Randhawa | Family Medicine | Swedish Hospital Part of North Shore, 5145 N. California Ave., Chicago, IL 60625 | 2019-07-09 |
| 1376102202 | Nita Gupta | Student in an Organized Health Care Education/Training Program | Graduate Medical Education Department, 5145 N. California Ave, Chicago, IL 60625 | 2019-06-13 |
| 1841763471 | Alexandra Taskier | Counselor | 5359 N Bowmanville Ave., Chicago, IL 60625 | 2019-01-07 |
| 1013490143 | Paula Bielnicka | Pharmacist | Swedish Covenant Hospital - Pharmacy, 5140 N California Ave, Chicago, IL 60625 | 2018-09-14 |
| 1902397078 | Rebecca Abraham | Hospitalist | 5145 N California Ave Ofc M331, Chicago, IL 60625 | 2018-05-24 |
| Find all providers in zip 60625 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1497308761 | Exquisite Care Spa and Wellness Inc. | Clinic/Center | 3257 N Sheffield Ave Ste 116, Chicago, IL 60657-2276 | 2019-07-16 |
| 1437612405 | Voice of Reason Counseling, LLC | Clinic/Center | 6634 S Knox Ave, Chicago, IL 60629-5643 | 2019-04-08 |
| 1386121283 | Aea Optical Ventures, LLC | Clinic/Center | 4814 N Clark St, Chicago, IL 60640 | 2018-07-24 |
| 1184122509 | First Call Network, LLC | Clinic/Center | 8725 W Higgins Rd Ste 110, Chicago, IL 60631-2710 | 2018-01-31 |
| 1164952362 | Franklin Eye Care, LLC | Clinic/Center | 227 W Monroe St Lbby 160, Chicago, IL 60606-5091 | 2017-06-19 |
| 1770027567 | Eating Recovery Center | Clinic/Center | 3121 Augusta Blvd, Apt 3, Chicago, IL 60622 | 2016-12-13 |
| 1619428273 | 360 Active Recovery | Clinic/Center | 2221 W North Ave, #1, Chicago, IL 60647-5429 | 2016-10-19 |
| 1992158562 | Illinois Wellness and Weight Loss Centers Sc | Clinic/Center | 9933 South Western Avenue, Suite 200, Chicago, IL 60643-1810 | 2016-07-19 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.