Lawrence House

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

051033099 Issued in IL

Legal business name

LAWRENCE HOUSE

Doing business as

Pharmacist

Practice address

1001 W Lawrence Ave
Chicago, IL 60640-5017

Phone

(773) 561-2288

NPI assigned

Jan 21, 2016

Organization subpart

Yes

Parent organization

STATE OF ILLINOISAs reported in NPPES

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

Authorized official

Name

Mr. John F O'Sullivan, RPH

Title

Pharmacist

Phone

(630) 649-0027

Specialties & licenses 1

Addresses

Other names 1

• Pharmacist Doing business as

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• State of Illinois

  • Physical Disabilities Residential Treatment Facility
  • Chicago, IL
  • NPI 1609890235
  NPPES parent name

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453334400000",
    "number": "1558728519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5953 OAKWOOD DR",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605323011",
            "telephone_number": "630-649-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W LAWRENCE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405017",
            "telephone_number": "773-561-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE HOUSE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF ILLINOIS",
        "enumeration_date": "2016-01-21",
        "last_updated": "2016-01-21",
        "status": "A",
        "authorized_official_last_name": "O'SULLIVAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "630-649-0027",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "IL",
            "license": "051033099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pharmacist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lawrence Hall Youth Services
• Lawrence Hall Youth Services
• Lawrence Hall Youth Services
• Lawrence Hall Youth Services
• Lawrence Hall Youth Services
• Lawrence Lindeman MD SC
• Lawrence M Kaufman, M.D., PH.D., SC
• Lawrence Stone (Stone Eye Center)
• Lawrence W Kolar, DDS, PC
• Tibessa Lawrence-Ellis

• Exclusive Provider Organization in Chicago, IL
• Providers in Chicago, IL by specialty
• Exclusive Provider Organization in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; 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.