NPIMap

Individual provider Active NPI

Lawrence A Rudnick, MD

  • Pulmonary Disease Physician
  • Chicago, IL
National Provider Identifier
1174539084
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
036081384 Issued in IL
Practice address
1044 N Mozart St Ste 405
Chicago, IL 60622-2790
Phone
(773) 292-8388
Fax
(773) 278-1242
NPI assigned
Jul 31, 2006
Last updated
Jul 10, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 036081384 IL Primary

Addresses

Primary practice location

1044 N Mozart St Ste 405
Chicago, IL 60622-2790

Mailing address

2162 Mint LN
Glenview, IL 60026-8014
Phone (847) 724-7960

Other identifiers 2

IdentifierTypeStateIssuer
04927890OtherILBLUE CROSS/SHIELD
P00356886OtherILRAIL ROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050601000251 IL Practitioner - Pulmonary Disease 0042252942 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Respiratory, Critical Care and Sleep Specialists, LLCGroup PAC ID 8729302054, 9 clinicians

Practice addresses (Care Compare)

1400 E Golf Rd
Suite 201
Des Plaines, IL 60016-8821
Phone (847) 376-8969

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health and Hospitals Corporation CurrentSince Jan 1, 2014 Accepting new patients
Respiratory, Critical Care and Sleep Specialists, LLC Pulmonary Disease CurrentSince Jan 1, 2015 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Advocate Health & Hospitals Corporation CurrentSince Jan 1, 2014 Accepting new patients
Respiratory Medicine Assoicates, S.C. Past Accepting new patients
American Home Visiting Physicians Past Accepting new patients
Northwest Pulmonary Associates, S.C. Pulmonary Disease Past Accepting new patients
Mukesh K Ahluwalia PC Pulmonary Disease Past Accepting new patients
Chest & Sleep Medicine Associates S.C. Pulmonary Disease Past Accepting new patients
Cardiothoracic & Vascular Surgical Associates S C Past Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

5600 W Addison St
Ste 306
Chicago, IL 60634
Phone (773) 283-8664

5600 W Addison St
Ste 503
Chicago, IL 60634
Phone (773) 282-5299

1400 E Golf Rd
Ste 201
Des Plaines, IL 60016
Phone (847) 298-3338

1400 E Golf Rd
Ste 211
Des Plaines, IL 60016
Phone (847) 635-1005

3 Erie Ct
Oak Park, IL 60302
Phone (708) 763-6200

3 Erie Ct
Ste 7010
Oak Park, IL 60302
Phone (708) 763-6731

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DEDDCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/DEDDCA/Endpoint/DEDDCA

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215648000000",
    "number": "1174539084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2162 MINT LN",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268014",
            "telephone_number": "847-724-7960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 N MOZART ST STE 405",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222790",
            "telephone_number": "773-292-8388",
            "fax_number": "773-278-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDNICK",
        "first_name": "LAWRENCE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2008-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036081384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/SHIELD",
            "identifier": "04927890",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00356886",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.