Lawrence a Short DPM LTD

Primary specialty

PodiatristTaxonomy code 213E00000X

License

016003095 Issued in IL

Legal business name

LAWRENCE A SHORT DPM LTD

Practice address

71 Waukegan Rd
Suite 200
Lake Bluff, IL 60044-1662

Phone

(847) 295-9300

Fax

(847) 295-9607

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Lawrence Alan Short, DPM

Title

President

Phone

(847) 295-9300

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• University Foot Associates Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sakeena Iftikhar Haq, DPM

  • Podiatrist
  • Buffalo Grove, IL
  • NPI 1790946689
  NPD (past)

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238025600000",
    "number": "1669513982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 WAUKEGAN RD",
            "address_2": "SUITE 200",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600441662",
            "telephone_number": "847-295-9300",
            "fax_number": "847-295-9607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 WAUKEGAN RD",
            "address_2": "SUITE 200",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600441662",
            "telephone_number": "847-295-9300",
            "fax_number": "847-295-9607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE A SHORT DPM LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2009-03-26",
        "status": "A",
        "authorized_official_last_name": "SHORT",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-295-9300",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016003095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "000102466006",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "60021233",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Foot Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lake Bluff Il Endoscopy ASC LLC
• Lake Bluff School District 65
• Lake Bluff School District 65
• Lake Forest Pediatric Associates, LTD
• Hayley Lakin
• John Jonghwan Lee, DDS
• William Wah Hing Lee, ED.D.
• Barbara Mary Lemke Hagstrom, LCSW
• Katherine A Letourneau, JC, LCSW
• Michael Levi, MD

• Podiatrist in Lake Bluff, IL
• Providers in Lake Bluff, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2009; 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.