Individual provider Active NPI

John Kevin Lawson, M.D.

  • Allergy & Immunology Physician
  • Northbrook, IL
National Provider Identifier
1689864357
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
036-115242 Issued in IL
Practice address
500 Skokie Blvd
Suite 140
Northbrook, IL 60062-2856
Phone
(847) 272-4296
NPI assigned
Jul 30, 2007
Last updated
Jul 29, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 036-115242 IL Primary

Addresses

Primary practice location

500 Skokie Blvd
Suite 140
Northbrook, IL 60062-2856

Mailing address

500 Skokie Blvd
Suite 140
Northbrook, IL 60062-2856
Phone (847) 272-4296

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080624000074 IL Practitioner - Allergy/Immunology 7618937855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Louisiana State University School of Medicine in New Orleans, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salmon S Goldberg MD and David S Chudwin MDSCGroup PAC ID 6002873502, 4 clinicians

Practice addresses (Care Compare)

475 Brown Blvd
Bourbonnais, IL 60914-2325
Phone (815) 933-5092

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-115242ILMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salmon S Goldberg MD and David S Chudwin MDSC CurrentSince Mar 1, 2008 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

475 Brown Blvd
Bourbonnais, IL 60914
Phone (815) 763-1406

475 Brown Blvd
Ste 104
Bourbonnais, IL 60914
Phone (815) 933-5092

150 W Half Day Rd
Ste 200
Buffalo Grove, IL 60089
Phone (847) 793-0777

300 Memorial Dr
Ste 250
Crystal Lake, IL 60014
Phone (630) 654-4201

5911 N West Hwy
Ste 208
Crystal Lake, IL 60014
Phone (815) 455-7259

500 Skokie Blvd
Ste 140
Northbrook, IL 60062
Phone (847) 272-4296

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217289600000",
    "number": "1689864357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SKOKIE BLVD",
            "address_2": "SUITE 140",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622856",
            "telephone_number": "847-272-4296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SKOKIE BLVD",
            "address_2": "SUITE 140",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622856",
            "telephone_number": "847-272-4296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWSON",
        "first_name": "JOHN",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-30",
        "last_updated": "2008-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "IL",
            "license": "036-115242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

Verify at the official NPI Registry.