NPIMap

Organization Active NPI

Lavoll and Edger, S.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
National Provider Identifier
1306932751
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
036069216 Issued in IL
Legal business name
LAVOLL AND EDGER, S.C.
Practice address
3122 N Sheridan Rd Apt B2
Chicago, IL 60657-4936
Phone
(312) 209-1123
Fax
(312) 988-9215
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Robert Edger, MDNPI 1326193293
Title
Owner
Phone
(312) 209-1123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 036069216 IL Primary

Addresses

Primary practice location

3122 N Sheridan Rd Apt B2
Chicago, IL 60657-4936

Mailing address

3122 N Sheridan Rd Apt B2
Chicago, IL 60657-4936
Phone (312) 209-1123

National Provider Directory

National Provider Directory

Locations

645 N Michigan Ave
Ste 820
Chicago, IL 60611
Phone (312) 787-4074

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1306932751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3122 N SHERIDAN RD APT B2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574936",
            "telephone_number": "312-209-1123",
            "fax_number": "312-988-9215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3122 N SHERIDAN RD APT B2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574936",
            "telephone_number": "312-209-1123",
            "fax_number": "312-988-9215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVOLL AND EDGER, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "EDGER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-209-1123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "license": "036069216",
            "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 Jul 21, 2022; 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.