LAKE FOREST PEDIATRIC ASSOCIATES, LTD
NPI 1316984107
Clinic/Center in Lake Forest, IL

Q: What is Lake Forest Pediatric Associates, Ltd's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since June 01, 2006CLIA 14D0412981 · Waiver

900 N WESTMORELAND RD, SUITE 110, LAKE FOREST, IL 60045(847) 295-1220(847) 295-1255 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lake Forest Pediatric Associates, Ltd NPPES

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

LAKE FOREST PEDIATRIC ASSOCIATES, LTD (NPI 1316984107) is a healthcare organization registered as a clinic/center in Lake Forest, Illinois and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through September 20, 2027 and lists Lisa Marie Macnair, Director, as its authorized official.

NPPES Registry Identity

NPI1316984107

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameLAKE FOREST PEDIATRIC ASSOCIATES, LTD

Location Address900 N WESTMORELAND RD, SUITE 110Lake Forest, IL 60045-1674

Mailing Address900 N Westmoreland Rd, Suite 110Lake Forest, IL 60045-1674 · (847) 295-1220 · Fax (847) 295-1255

Phone(847) 295-1220

Fax(847) 295-1255

Organization SubpartNo

Authorized OfficialLisa Marie MacnairDirector · (847) 295-1220

Enumeration DateJune 1, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1316984107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

900 N WESTMORELAND RD, Lake Forest, IL 60045

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0412981

Lake Forest Pediatrics · Lake Bluff, IL

Active · expires Sep 20, 2027

CLIA Number14D0412981

Laboratory TypePhysician Office

Certificate Effective DateSeptember 21, 2025

Certificate Expiration DateSeptember 20, 2027

Laboratory DirectorJerome O. Kaltman MD

Laboratory Phone(847) 295-1220

Laboratory LocationLake Forest Pediatrics917 Sherwood Dr, Lake Bluff, IL 60044

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

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.

LAKE SHORE PEDIATRICS, LTD

Pediatrics

900 N WESTMORELAND RD, SUITE 106
LAKE FOREST, IL 60045

Lake County (847) 615-4654

TANNER L COLEGROVE M.D.

Obstetrics & Gynecology

900 N WESTMORELAND RD, SUITE # 207
LAKE FOREST, IL 60045

Lake County (847) 234-9110

MELISSA HILB CPNP

Nurse Practitioner (Pediatrics)

900 N WESTMORELAND RD, SUITE 110
LAKE FOREST, IL 60045

Lake County (847) 295-1220

NORTH SHORE RHEUMATOLOGY

Internal Medicine (Rheumatology)

900 N WESTMORELAND RD, SUITE 222
LAKE FOREST, IL 60045

Lake County (847) 234-6121

DR. DENISE VERGES MD

Internal Medicine (Rheumatology)

900 N WESTMORELAND RD, SUITE 222
LAKE FOREST, IL 60045

Lake County (847) 234-6121

NORTHWESTERN MEDICAL FACULTY FOUNDATION

Optometrist

900 N WESTMORELAND RD, LOWER LEVEL 88
LAKE FOREST, IL 60045

Lake County (847) 295-0001

JHAN CARLO FONTANILLA DPT

Physical Therapist

900 N WESTMORELAND RD
LAKE FOREST, IL 60045

Lake County (847) 535-6418

DR. REBECCA E JACOBSON MD

Obstetrics & Gynecology

900 N WESTMORELAND RD, STE 228
LAKE FOREST, IL 60045

Lake County (847) 234-3860

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 Lake Forest Pediatric Associates, Ltd's NPI number?

The NPI number for Lake Forest Pediatric Associates, Ltd is 1316984107. It was assigned to this organization in the NPPES registry on June 1, 2006.

Where is Lake Forest Pediatric Associates, Ltd located?

Lake Forest Pediatric Associates, Ltd is located at 900 N Westmoreland Rd Suite 110, Lake Forest, IL 60045. The listed phone number is (847) 295-1220.

What is Lake Forest Pediatric Associates, Ltd's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Lake Forest Pediatric Associates, Ltd hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0412981) is associated with this NPI, valid through September 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lake Forest Pediatric Associates, Ltd was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.