Active NPI
Ira Donald Lawrence, M.D.
- Allergy & Immunology Physician
- Chicago, IL
National Provider Identifier
1497095590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 036.063703
- Practice address
- 1845 N Hoyne Ave
Chicago, IL 60647-5543 - Phone
- (773) 551-2830
- NPI assigned
- Feb 26, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 036.063703 | IL | Primary |
| Internal Medicine Physician | 207R00000X | 036.063703 | IL |
Addresses
Primary practice location
1845 N Hoyne Ave
Chicago, IL 60647-5543
Mailing address
1845 N Hoyne Ave
Chicago, IL 60647-5543
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.063703 | IL | MD | Allergy & Immunology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361836800000",
"number": "1497095590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1845 N HOYNE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606475543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1845 N HOYNE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606475543",
"telephone_number": "773-551-2830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWRENCE",
"first_name": "IRA",
"middle_name": "DONALD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-02-26",
"last_updated": "2013-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "IL",
"license": "036.063703",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036.063703",
"primary": false
}
],
"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 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.