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LISA OLDHAM MD LLC
NPI 1013080613
Obstetrics & Gynecology - Gynecology in Chicago, IL

Active since November 15, 2006
1300 W BELMONT AVE, SUITE 10, CHICAGO, IL 60657(312) 942-0099(773) 880-2321 Get Directions Write a Review

NPPES record last updated: May 27, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lisa Oldham Md Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA OLDHAM MD LLC (NPI 1013080613) is a healthcare organization registered as a gynecology in Chicago, Illinois and active in the NPI registry since November 2006. The organization lists Lisa Marie Oldham, Physician, as its authorized official.

NPPES Registry Identity

NPI1013080613
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NameLISA OLDHAM MD LLC
Location Address1300 W BELMONT AVE, SUITE 10Chicago, IL 60657-3200
Mailing Address1300 W Belmont Ave, Suite 10Chicago, IL 60657-3200 · (312) 942-0099 · Fax (773) 880-2321
Phone(312) 942-0099
Fax(773) 880-2321
Organization SubpartNo
Authorized OfficialLisa Marie OldhamPhysician · (312) 942-0099
Enumeration DateNovember 15, 2006
Last NPPES UpdateMay 27, 2014
✔ NPI 1013080613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in IL · 036105494
Definition

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

1300 W BELMONT AVE, Chicago, IL 60657
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Other Identifiers 3

Other1689636904IL · Npi
Medicaid036105494IL
Medicare UPINH71298IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEGIN MOTLAGHARANI
Marriage & Family Therapist
1300 W BELMONT AVE
CHICAGO, IL 60657
Cook County (312) 813-7701
DR. MANISHA DAYAL PSY.D.
Psychologist (Clinical)
1300 W BELMONT AVE, #216
CHICAGO, IL 60657
Cook County (773) 880-1390
ROBERT YATA MA, LPC
Counselor (Professional)
1300 W BELMONT AVE, SUITE 400
CHICAGO, IL 60657
Cook County (773) 880-1310
TAYLOR PSYCHOLOGICAL SERVICES PC
Psychologist (Clinical)
1300 W BELMONT AVE, SUITE 115
CHICAGO, IL 60657
Cook County (312) 753-9465
HELEN WYATT
Counselor (Mental Health)
1300 W BELMONT AVE
CHICAGO, IL 60657
Cook County (312) 813-7701
ANGELA MARIE VEACH MS LCPC
Counselor (Professional)
1300 W BELMONT AVE, SUITE 216
CHICAGO, IL 60657
Cook County (224) 217-1882
DR. COURTNEY K DOMENICO PSYD
Psychologist (Clinical)
1300 W BELMONT AVE, SUITE 302
CHICAGO, IL 60657
Cook County (773) 883-5398
CUYANA RADISHA DAVIS-CARTER LPC
Counselor (Professional)
1300 W BELMONT AVE, 400
CHICAGO, IL 60657
Cook County (773) 880-1310

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Oldham MD LLC's NPI number?

The NPI number for Lisa Oldham MD LLC is 1013080613. It was assigned to this organization in the NPPES registry on November 15, 2006.

Where is Lisa Oldham MD LLC located?

Lisa Oldham MD LLC is located at 1300 W Belmont Ave Suite 10, Chicago, IL 60657. The listed phone number is (312) 942-0099.

What is Lisa Oldham MD LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

When was this NPI record last updated?

The NPPES record for Lisa Oldham MD LLC was last updated on May 27, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.