Lawlor, Mary

Lawlor, Mary is an sole proprietor health care provider with primary practice located at 10160 S Longwood Dr , Chicago IL 60643-2057. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Lawlor, Mary can be contacted via phone (847) 224-5040.

Contact Information

Primary practice address
10160 S Longwood Dr Chicago IL 60643-2057
Phone: (847) 224-5040
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036064533 Illinois
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 036064533 Illinois

Profile Details

NPI number 1326076191
LBN Legal business name Lawlor, Mary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2006
Last updated May 19th, 2019 - about 5 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 1326076191 NPPES
Illinois MEDICAID 036064533

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