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LIFESPAN MEDICAL ASSOCIATES LLC
NPI 1356518559
Internal Medicine in Arlington Heights, IL

Active since May 15, 2008CLIA 14D1083940 · Waiver
724 E KENSINGTON RD, ARLINGTON HEIGHTS, IL 60004(847) 222-9595(847) 222-9565 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 21, 2025, Sep 14, 2021, May 12, 2021 (3 updates tracked since 2021).

About Lifespan Medical Associates Llc NPPES

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

LIFESPAN MEDICAL ASSOCIATES LLC (NPI 1356518559) is a healthcare organization registered as an internal medicine in Arlington Heights, Illinois and active in the NPI registry since May 2008. The organization holds a CLIA Waiver certificate valid through May 12, 2028 and lists Bino Oommen, Owner Of Entity, as its authorized official.

NPPES Registry Identity

NPI1356518559
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLIFESPAN MEDICAL ASSOCIATES LLC
Location Address724 E KENSINGTON RDArlington Heights, IL 60004-6201
Mailing Address724 E Kensington RdArlington Heights, IL 60004-6201 · (847) 222-9595 · Fax (847) 222-9565
Phone(847) 222-9595
Fax(847) 222-9565
Organization SubpartNo
Authorized OfficialBino OommenOwner Of Entity · (773) 301-3921
Enumeration DateMay 15, 2008
Last NPPES UpdateMay 21, 20253 updates tracked since enumeration
NPPES CertifiedMay 21, 2025
✔ NPI 1356518559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
724 E KENSINGTON RD, Arlington Heights, IL 60004
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Other Identifiers 1

Medicaid036119123IL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 14D1083940

Lifespan Medical Associates LLC · Arlington Heights, IL
Active · expires May 12, 2028
CLIA Number14D1083940
Laboratory TypePhysician Office
Certificate Effective DateMay 13, 2026
Certificate Expiration DateMay 12, 2028
Laboratory DirectorDr. Bino Oommen
Laboratory Phone(847) 755-3228
Laboratory LocationLifespan Medical Associates LLC724 E Kensington Rd, Arlington Heights, IL 60004
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Lifespan Medical Associates LLC's NPI number?

The NPI number for Lifespan Medical Associates LLC is 1356518559. It was assigned to this organization in the NPPES registry on May 15, 2008.

Where is Lifespan Medical Associates LLC located?

Lifespan Medical Associates LLC is located at 724 E Kensington Rd, Arlington Heights, IL 60004. The listed phone number is (847) 222-9595.

What is Lifespan Medical Associates LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Lifespan Medical Associates LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1083940) is associated with this NPI, valid through May 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lifespan Medical Associates LLC was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.