LAWRENCE J GOTTLIEB (NPI# 1790840528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790840528 |
Entity Type | Individual |
Full Name | LAWRENCE J GOTTLIEB |
Credential | MD |
Practice Address |
180 Harvester Dr Ste 110 Burr Ridge IL 60527-6686 |
Mailing Address |
5841 S Maryland Ave # Mc1099 Chicago IL 60637-1447 |
Practice Telephone | 7738344064 |
Enumeration Date | 2006-12-22 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
IL | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790900157 | Lawrence K Gottlieb | Internal Medicine | Intermed Advisors Inc., One Boston Place, Suite 2815, Boston, MA 02108 | 2007-04-13 |
1922437144 | Lawrence Adam Gottlieb | Pharmacist | 216 S Military Ave, Green Bay, WI 54303-2412 | 2013-11-07 |
1154305209 | Lawrence Howard Gottlieb | Internal Medicine | 1420 Broadway, Hewlett, NY 11557-1352 | 2005-12-02 |
Street Address |
180 HARVESTER DR STE 110 |
City | BURR RIDGE |
State | IL |
Zip Code | 60527-6686 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568487346 | Rajlakshmi Krishnamurthy | Internal Medicine | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2006-07-13 |
1679068555 | Sanjiv Kumar Hyoju | Surgery | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-4503 | 2018-06-24 |
1386030245 | Rachel Strykowski | Internal Medicine | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2015-04-07 |
1225464290 | Iazsmin Bauer Ventura | Internal Medicine | 180 Harvester Dr Ste 110, Burr Ridge, Burr Ridge, IL 60527-6686 | 2013-09-22 |
1932442456 | Elizabeth Quinn Starker | Anesthesiology | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-4503 | 2013-04-03 |
1164776639 | Anna Biernacka | Pathology | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2012-11-05 |
1639467087 | Bryan Alan Campbell | Hospitalist | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2011-07-19 |
1578852497 | Jonathan Lio | Internal Medicine | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2011-03-31 |
1225330061 | Shirley Stephenson | Nurse Practitioner | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2010-11-30 |
1689829285 | Lazaro Nelson Sanchez-pinto | Pediatrics | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2008-11-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023635364 | Crystal Mary Dirks | Occupational Therapy Assistant | 211 75th St, Burr Ridge, IL 60527 | 2020-07-02 |
1386276350 | Valerie Moreno-tucker | Counselor | 277 83rd St, Burr Ridge, Il 60527, Burr Ridge, IL 60527 | 2020-02-07 |
1831734763 | Annette Maria Zajac | Occupational Therapist | 16 91st St., Burr Ridge, IL 60527 | 2019-11-14 |
1568023109 | Jennifer Rogers | Counselor | 277 83rd St., Ste. D, Burr Ridge, IL 60527 | 2019-06-25 |
1710458526 | Dima Sibai Dds PC | Clinic/Center | 940 Plianfield Rd., Willowbrook, IL 60527 | 2018-12-06 |
1558850495 | Jeanie C. Lucy PC | Optometrist | 6340 Americana Drive Suite 1108, Willowbrook, IL 60527 | 2018-05-07 |
1538664032 | Athletico,ltd | Physical Therapist | 6860 N Frontage Rd Ste B, Burr Ridge, IL 60527 | 2018-03-27 |
1003314832 | Ams Wellness Pllc | Psychologist | 277 83rd St Ste D, Burr Ridge, IL 60527 | 2018-01-26 |
1023564671 | Natasa Manasovska | Dentist | 6111 Knollwood Rd, Apt. 103, Willowbrook, IL 60527 | 2016-09-01 |
1669927893 | Marie Ann Korallus | Nurse Practitioner | 7055 High Grove, Burr Ridge, IL 60527 | 2016-08-17 |
Find all providers in zip 60527 |
Taxonomy Code | 2086S0122X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Plastic and Reconstructive Surgery |
A surgeon who specializes in plastic and reconstructive surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467074617 | Dewolfe Aesthetic Services Sc | Surgery | 3357 N. Southport Aveune, Chicago, IL 60657 | 2020-05-11 |
1578068524 | Jw Operatory | Surgery | 1811 Saint Johns Ave Ste 100, Highland Park, IL 60035-5607 | 2018-03-29 |
1780198796 | Lin Plastic and Reconstructive Surgery Inc | Surgery | 730 W Couch Pl Unit 1409, Chicago, IL 60661-1383 | 2017-11-29 |
1750892923 | Alban Ingram Miller Jr. | Surgery | 1708 Foxborough Ct, Champaign, IL 61822-8503 | 2017-10-16 |
1972905545 | Jennifer Hein | Surgery | 2631 Williamsburg Ave Ste 102, Geneva, IL 60134-1108 | 2014-09-25 |
1093139909 | Swedishamerican Hospital | Surgery | 1639 N Alpine Rd Ste 400, Rockford, IL 61107 | 2014-02-12 |
1043559842 | Msa Alliance, LLC | Surgery | 1 Broadway Plz, Sparta, IL 62286-1800 | 2013-02-14 |
1518223791 | Hansel M Debartolo Jr Md Sc | Surgery | 11 Debartolo Dr., Sugar Grove, IL 60554 | 2012-04-02 |
1952692717 | Georgios Kokosis | Surgery | 1725 W Harrison St Ste 425, Chicago, IL 60612-3893 | 2011-04-28 |
1740596808 | Swedishamerican Hospital | Surgery | 6533 Lexus Dr, Rockford, IL 61108 | 2010-08-27 |
Find all providers with the same taxonomy |
City | BURR RIDGE |
Zip Code | 60527 |
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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.