Organization Active NPI

Larry a. Auerbach, M.D., P.C.

  • Ophthalmology Physician
  • Chicago, IL
National Provider Identifier
1245429679
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
LARRY A. AUERBACH, M.D., P.C.
Practice address
1634 W Polk St
Chicago, IL 60612-4352
Phone
(847) 436-8300
Fax
(847) 487-7571
NPI assigned
Oct 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Authorized official

Name
Dr. Larry Alan Auerbach, MD
Title
President
Phone
(847) 436-8300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

1634 W Polk St
Chicago, IL 60612-4352

Mailing address

2574 Portage Ave
Wauconda, IL 60084-5031
Phone (847) 436-8300

National Provider Directory

National Provider Directory

Locations

125 E Lake Cook Rd
Ste 110
Buffalo Grove, IL 60089
Phone (847) 459-8575

125 E Lake Cook Rd
Buffalo Grove, IL 60089
Phone (312) 520-3382

NPI Registry JSON

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1245429679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2574 PORTAGE AVE",
            "city": "WAUCONDA",
            "state": "IL",
            "postal_code": "600845031",
            "telephone_number": "847-436-8300",
            "fax_number": "847-436-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 W POLK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124352",
            "telephone_number": "847-436-8300",
            "fax_number": "847-487-7571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY A. AUERBACH, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "AUERBACH",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-436-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.