Active NPI
Lisa Ann Rawle, B.D.S.
- Pediatric Dentistry
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 019.035456
- Practice address
- Uic Pediatric Dentistry Residency RM 256D (MC 850)
801 S. Paulina St.
Chicago, IL 60613 - Phone
- (312) 413-7714
- Fax
- (312) 996-1981
- NPI assigned
- Apr 30, 2021
- Last updated
- May 2, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 019.035456 | IL | Primary |
Addresses
Primary practice location
Uic Pediatric Dentistry Residency RM 256D (MC 850)
801 S. Paulina St.
Chicago, IL 60613
Mailing address
Uic Pediatric Dentistry
801 S. Paulina St. MC 850
Chicago, IL 60612
Phone (866) 600-2273
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: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019.035456 | IL | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Board of Trustees of the University of Illinois | Pediatric Dentistry | Current | Accepting new patients |
Locations
7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-4210
801 S Paulina St
#621
Chicago, IL 60612
Phone (312) 355-1661
801 S Paulina St
#850
Chicago, IL 60612
Phone (312) 413-7714
801 S Paulina St
Rm 42
Chicago, IL 60612
Phone (312) 996-6519
Interoperability endpoints
- lrawle115428@uihealth.direct-ci.com
Organizations & group practices 3
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.
-
- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
-
- Dentist
- Chicago, IL
- NPI 1992873921
-
dba Occupational Health Service Institute (OHSI)
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746144000000",
"number": "1518540285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "UIC PEDIATRIC DENTISTRY",
"address_2": "801 S. PAULINA ST. MC 850",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60612",
"telephone_number": "866-600-2273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UIC PEDIATRIC DENTISTRY RESIDENCY RM 256D (MC 850)",
"address_2": "801 S. PAULINA ST.",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60613",
"telephone_number": "312-413-7714",
"fax_number": "312-996-1981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAWLE",
"first_name": "LISA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "B.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-30",
"last_updated": "2025-05-02",
"certification_date": "2025-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "IL",
"license": "019.035456",
"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 May 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.