Lawrence R Pankau, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036443839 Issued in IL

Practice address

132 S Prospect Ave
Park Ridge, IL 60068-4064

Phone

(847) 825-5463

NPI assigned

May 27, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185753600000",
    "number": "1497758114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 S PROSPECT AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684064",
            "telephone_number": "847-825-5463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 S PROSPECT AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684064",
            "telephone_number": "847-825-5463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANKAU",
        "first_name": "LAWRENCE",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2007-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036443839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Halina Palonis, PT
• Saagar Vidya Pamulapati, MD, MA IN BIOETHICS
• Gabriella Noelle Pandza, MD
• Alyssa Panganiban, DO
• Megan Panici, LCSW
• Greg Pankow, PHARMACIST
• John N Panopoulos, DC
• Giovanni Paolella Jr., MD
• Brian Philip Curran Paoletti
• Nadia Paonessa, DO

• Internal Medicine Physician in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; 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.