Sheldon Lazar, M.D.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

3640463 Issued in IL

Practice address

9700 Kenton Ave
K401
Skokie, IL 60076-1259

Phone

(847) 674-9394

Fax

(847) 674-9791

NPI assigned

Aug 17, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Foundation for Outreach Services

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1316350242
  Medicare reassignment NPD
• Neurology and Neurodiagnostics, LTD

  • Neurology Physician
  • Glenview, IL
  • NPI 1538364591
  NPD (past)

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262908800000",
    "number": "1275525172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 KENTON AVE",
            "address_2": "K401",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761259",
            "telephone_number": "847-674-9394",
            "fax_number": "847-674-9791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 KENTON AVE",
            "address_2": "K401",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761259",
            "telephone_number": "847-674-9394",
            "fax_number": "847-674-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZAR",
        "first_name": "SHELDON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2010-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IL",
            "license": "3640463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036040463",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Lawrence, FNP
• Patricia B. Lawrence, NP
• Patrick S. Lay, MD
• Alla Layman, PT
• Samantha Nichole Laystrom, PA-C
• Danielle Marie Leachman, PA-C
• Lead Consultants Inc
• Leading Edge Dental Center LTD
• Emiliano Leal
• Lease Therapy Collective PLLC

• Neurological Surgery Physician in Skokie, IL
• Providers in Skokie, IL by specialty
• Neurological Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.