DR. LAWRENCE A RUDNICK (NPI# 1174539084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174539084 |
Entity Type | Individual |
Full Name | DR. LAWRENCE A RUDNICK |
Credential | MD |
Practice Address |
1044 N Mozart St Ste 405 Chicago IL 60622-2790 |
Mailing Address |
2162 Mint Ln Glenview IL 60026-8014 |
Practice Telephone | 7732928388 |
Practice Fax Number | 7732781242 |
Mailing Telephone | 8477247960 |
Enumeration Date | 2006-07-31 |
Last Update Date | 2008-07-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
036081384 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | BLUE CROSS/SHIELD | 04927890 | 01 |
IL | RAIL ROAD MEDICARE | P00356886 | 01 |
Street Address |
1044 N MOZART ST STE 405 |
City | CHICAGO |
State | IL |
Zip Code | 60622-2790 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699187070 | Shruti Patel | Nurse Practitioner | 1044 N Mozart St Ste 405, Chicago, IL 60622-2790 | 2014-05-20 |
1750645537 | Rama El Yafawi | Internal Medicine | 1044 N Mozart St Ste 405, Chicago, IL 60622-2790 | 2012-06-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447880471 | Erikson Institute | Clinic/Center | 2739 W Division St, Chicago, IL 60622 | 2020-01-17 |
1720620545 | Emily Claire Bonanno | Counselor | 1397 N Miwaukee Ave, Chicago, IL 60622 | 2019-10-14 |
1891342093 | Taylor Mallon | Speech-Language Pathologist | 8870 South Duffy Avenue, Apartment 406, Chicago, IL 60622 | 2019-08-22 |
1083260277 | Maggie Inman | Student in an Organized Health Care Education/Training Program | 1431 N Claremont Avenue, 2nd Floor Pavilion, Chicago, IL 60622 | 2019-08-13 |
1174176168 | Karol Maricel Quelal Analuisa | Internal Medicine | 1901 W Harrison, Chicago Il 60612-3714, Chicago, IL 60622 | 2019-07-19 |
1073076105 | Nichole Galullo | Social Worker | 1431 N Claremont 2nd Floor, Chicago, IL 60622 | 2019-04-06 |
1003375122 | Alfredo Delgado Perez Sr. | Psychologist | 1127 N Oakley Bvl 3 Floor, Chicago, IL 60622 | 2019-03-18 |
1841773439 | Abigail Hector | Counselor | 1521 N Milwaukee Ave, 3n, Chicago, IL 60622 | 2018-09-11 |
1164916144 | Dorothy Mitkowski | Student in an Organized Health Care Education/Training Program | 1127 N. Oakley Blvd., 2nd Floor, Chicago, IL 60622 | 2018-06-21 |
1255825121 | Kara Lynn Daniel | Speech-Language Pathologist | 1540 N Artesian Ave Apt 2r, Chicago, IL 60622 | 2018-06-14 |
Find all providers in zip 60622 |
Taxonomy Code | 207RP1001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Pulmonary Disease |
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861835985 | Christie Ann Brillante | Internal Medicine | 1801 W. Taylor, Suite 3c, Chicago, IL 60612-4795 | 2013-04-08 |
1154564607 | Kevin Patrick Haas | Internal Medicine | 840 S Wood St # Mc719, Chicago, IL 60612-4325 | 2009-04-14 |
1427194638 | Diane Tate | Internal Medicine | 6547 N Avondale Ave, Suite 001, Chicago, IL 60631-1573 | 2007-01-29 |
1760534192 | Anita A Shah | Internal Medicine | 2800 N Sheridan Rd Ste 301, Chicago, IL 60657-6158 | 2007-01-17 |
1891853016 | Romeo Lee Uy | Internal Medicine | 5140 North California Ave, Suite 620, Chicago, IL 60625 | 2006-12-04 |
1861560724 | Alvin Jerry Schonfeld | Internal Medicine | 438 W Saint James Pl, Chicago, IL 60614-2750 | 2006-11-30 |
1154405801 | Nicholas Gross | Internal Medicine | 1414 N Wells St, Apt. 407, Chicago, IL 60610-1374 | 2006-10-25 |
1285724765 | Howard Arya Jaffe | Internal Medicine | 820 South Damen Street, Pccsm, Dept Med (111), Jesse Brown Va Medical Center, Chicago, IL 60612 | 2006-10-13 |
1346340650 | Ricky Johnson | Internal Medicine | 2011 E 75th St, Chicago, IL 60649-3607 | 2006-09-25 |
1215041462 | Patricia S Mikes Md Sc | Internal Medicine | 201 E Huron St Ste 11-245, Chicago, IL 60611-2867 | 2006-08-17 |
Find all providers in CHICAGO |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.