NPIMap

Organization Active NPI

Rolando a Lara MD SC

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1679895569
Registry record updated Apr 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036046977 Issued in IL
Legal business name
ROLANDO A LARA MD SC
Practice address
1708 W 47TH St
Chicago, IL 60609-3822
Phone
(773) 927-9774
NPI assigned
Feb 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2010

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

Authorized official

Name
Dr. Rolando Lara, M.D.
Title
President
Phone
(773) 927-9774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 036046977 IL Primary

Addresses

Primary practice location

1708 W 47TH St
Chicago, IL 60609-3822

Mailing address

1708 W 47TH St
Chicago, IL 60609-3822
Phone (773) 927-9774

National Provider Directory

National Provider Directory

Locations

1708 W 47th St
Chicago, IL 60609
Phone (773) 927-9774

NPI Registry JSON

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

{
    "created_epoch": "1266537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272585600000",
    "number": "1679895569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 W 47TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606093822",
            "telephone_number": "773-927-9774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 W 47TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606093822",
            "telephone_number": "773-927-9774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLANDO A LARA MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-19",
        "last_updated": "2010-04-30",
        "status": "A",
        "authorized_official_last_name": "LARA",
        "authorized_official_first_name": "ROLANDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-927-9774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036046977",
            "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 Apr 30, 2010; 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.