Larry Ray Faulkner, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036.115947 Issued in IL

Practice address

2150 E Lake Cook Rd
Suite 900
Buffalo Grove, IL 60089-1862

Phone

(847) 229-6500

Fax

(847) 229-6600

NPI assigned

Mar 3, 2006

Last updated

Jan 11, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326240000000",
    "number": "1427025998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 E LAKE COOK RD",
            "address_2": "SUITE 900",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891862",
            "telephone_number": "847-229-6500",
            "fax_number": "847-229-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 E LAKE COOK RD",
            "address_2": "SUITE 900",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891862",
            "telephone_number": "847-229-6500",
            "fax_number": "847-229-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULKNER",
        "first_name": "LARRY",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2012-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036.115947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Buffalo Grove, IL
• Providers in Buffalo Grove, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.