Individual provider Active NPI

Charles Lawler, M.D.

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1356324867
Registry record updated Aug 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036078328 Issued in IL
Practice address
3700 S Wallace St
Chicago, IL 60609-1745
Phone
(773) 247-1900
Fax
(773) 247-8892
NPI assigned
Nov 29, 2005
Last updated
Aug 4, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036078328 IL Primary

Addresses

Primary practice location

3700 S Wallace St
Chicago, IL 60609-1745

Mailing address

2525 S Michigan Ave
B-390
Chicago, IL 60616-2333
Phone (312) 567-6691

Other identifiers 2

IdentifierTypeStateIssuer
01621679OtherILBCBS OF IL
036078328 /02MedicaidIL

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110113001091 IL Practitioner - Internal MedicinePractitioner - Geriatric Medicine 6305035858 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

172 E Schiller St
Elmhurst, IL 60126-2816
Phone (331) 221-9001

2650 Ridge Ave
Evanston, IL 60201-1700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Little Company of Mary Affiliated Services Inc Current Accepting new patients
Endeavor Health Medical Group Internal Medicine CurrentSince Dec 20, 2023 Accepting new patients
Endeavor Health Medical Group CurrentSince Dec 20, 2023 Accepting new patients
Little Company of Mary Affiliated Services Inc Internal Medicine CurrentSince Dec 4, 2017 Accepting new patients
Edward Health Ventures CurrentSince Jan 1, 2022 Accepting new patients
Pathology Consultants of Chicago, LTD. Current Accepting new patients
Edward Health Ventures CurrentSince Jan 1, 2022 Accepting new patients
Edna Richard M D Past Accepting new patients
Warren Furey MD LLC Internal Medicine PastSince Mar 30, 2011 Accepting new patients
Warren W Furey MD & Associates Internal Medicine Past Accepting new patients

Locations

2800 W 87th St
Chicago, IL 60652
Phone (312) 423-4200

2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153

201 E Huron St
Ste 11-230
Chicago, IL 60611
Phone (312) 342-6868

2525 S Michigan Ave
#B390
Chicago, IL 60616
Phone (312) 567-6691

9532 Eagle Way
Chicago, IL 60678

172 E Schiller St
Elmhurst, IL 60126
Phone (331) 221-6377

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

3033 Ogden Ave
Ste 101
Lisle, IL 60532
Phone (630) 646-6200

120 Spalding Dr
Ste 101
Naperville, IL 60540
Phone (630) 527-7730

120 Spalding Dr
Ste 310
Naperville, IL 60540
Phone (630) 527-5575

5660 W 95th St
Ste 1
Oak Lawn, IL 60453
Phone (708) 499-2273

6701 US Highway 34
Oswego, IL 60543
Phone (630) 646-4200

12450 S Harlem Ave
Palos Heights, IL 60463
Phone (708) 448-1207

24600 W 127th St
Ste B100
Plainfield, IL 60585
Phone (815) 731-9000

Interoperability endpoints

  • Direct secure messaging: clawler222854@direct.edward.org

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 8

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": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312416000000",
    "number": "1356324867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 S MICHIGAN AVE",
            "address_2": "B-390",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162333",
            "telephone_number": "312-567-6691",
            "fax_number": "312-328-7895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 S WALLACE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606091745",
            "telephone_number": "773-247-1900",
            "fax_number": "773-247-8892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWLER",
        "first_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2011-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036078328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "01621679",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036078328 /02",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.