Bennett, Lawrence Nicholas

Bennett, Lawrence Nicholas is an individual health care provider with primary practice located at 2160 S First Ave (Maguire Center, Rm. 3307), Maywood IL 60153. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Bennett, Lawrence Nicholas can be contacted via phone (708) 216-4403.

Contact Information

Primary practice address
2160 S First Ave (Maguire Center, Rm. 3307) Maywood IL 60153
Phone: (708) 216-4403
Fax: (708) 216-3375
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 36071262 Illinois

Profile Details

NPI number 1710951868
LBN Legal business name Bennett, Lawrence Nicholas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Aug 14th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710951868 NPPES
Illinois MEDICAID 36071262

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