LCMG INC
NPI 1518064716
Pediatrics in Chicago, IL

NPI Status: Active since September 20, 2006

Contact Information

225 E CHICAGO AVE
CHICAGO, IL
ZIP 60611
Phone: (312) 227-6412
Fax: (312) 227-9409

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Insurance Plans Accepted
Secondary Locations
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Pediatrics
Accepts Insurance
CLIA Number: 14D1085628
CLIA Cert. Type: Ancillary Testing Site in Health Care Center
CLIA Exp. Date: 07-23-2025

About LCMG INC

This page provides the complete NPI Profile along with additional information for Lcmg Inc, a pediatrician established in Chicago, Illinois operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1518064716 assigned on September 2006. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated one year ago. Lcmg Inc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Lcmg Inc. The authorized official of this NPI record is Mrs. Cheryl Withers Cpcs (Dir Of Credentialing & Enrollment)

NPI: 1518064716
Provider Legal Name: LURIE CHILDREN'S MEDICAL GROUP INC
Other Organization Name: LCMG INC
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 225 E CHICAGO AVE CHICAGO, IL 60611
Location Phone: (312) 227-6412
Location Fax: (312) 227-9409
Mailing Address: 225 E CHICAGO AVE BOX 118 CHICAGO, IL 60611
Mailing Phone: (312) 227-6415
Mailing Fax: (312) 227-9409
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 09-20-2006
Last Update Date: 12-31-2024
Code Navigator

A pediatrician like Lcmg Inc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Secondary Locations

2515 N Clark St
Chicago, IL 60614
(800) 543-7362
467 W Deming Pl
Chicago, IL 60614
(800) 543-7262
25 N Winfield Rd
Winfield, IL 60190
(800) 543-7362
1121 Techny Rd
Northbrook, IL 60062
(312) 227-2700
1131 Techny Rd
Northbrook, IL 60062
(312) 227-2700
2301 Enterprise Dr
Westchester, IL 60154
(800) 543-7362
250 E Superior St
Chicago, IL 60611
(800) 543-7362
4867 N Broadway St
Chicago, IL 60640
(800) 543-7362
660 N Westmoreland Rd
Lake Forest, IL 60045
(800) 543-7362
800 W Central Rd
Arlington Heights, IL 60005
(800) 543-7362
880 W Central Rd Ste 6400
Arlington Heights, IL 60005
(800) 543-7362
10350 Haligus Rd
Huntley, IL 60142
(224) 654-0000
1475 E Belvidere Rd
Grayslake, IL 60030
(800) 543-7362
1900 Silver Cross Blvd
New Lenox, IL 60451
(800) 543-7362
900 N Westmoreland Rd
Lake Forest, IL 60045
(800) 543-7362
1440 N Dayton St
Chicago, IL 60642
(800) 543-7362
3722 W Touhy Ave
Skokie, IL 60076
(800) 543-7362
300 Randall Rd
Geneva, IL 60134
(800) 543-7362
1870 Silver Cross Blvd
New Lenox, IL 60451
(312) 227-3620
1895 Arbor Glen Blvd
Schaumburg, IL 60195
(800) 543-7362

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Pediatrics
Taxonomy Code: 208000000X
Type: Allopathic & Osteopathic Physicians
Taxonomy Description: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Aetna CVS Health

Bronze 1 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
Silver 5 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - PPO

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: MRS. CHERYL WITHERS CPCS
Authorized Official Title: DIR OF CREDENTIALING & ENROLLMENT
Authorized Official Phone: (312) 227-6415

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
=========	MEDICAID (05)	IL

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 14D1085628
Facility Type: Ancillary Testing Site in Health Care Center
Certificate Effective Date: July 24, 2023
Certificate Expiration Date: July 23, 2025
Laboratory Director: SHUNYOU GONG MD
Certificate Type: Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description: This CLIA certificate is issued to Lcmg Inc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	5	1	8	0	6	4	7	1	6
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	5	2	8	0	6	8	7	2
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 2 + 8 + 0 + 6 + 8 + 7 + 2 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 6									6

The NPI number 1518064716 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

DANA BRAZDZIUNAS MD

Pediatrics

(Developmental - Behavioral Pediatrics)

225 E CHICAGO AVE
BOX 16
CHICAGO, IL
ZIP 60611