Healthcare Provider Details

I. General information

NPI: 1962524199
Provider Name (Legal Business Name): LAWRENCE HENRY PRESS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/06/2007
Last Update Date: 03/28/2024
Certification Date: 03/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8755 W HIGGINS RD STE 300
CHICAGO IL
60631-4016
US

IV. Provider business mailing address

PO BOX 267
ALGONQUIN IL
60102-0267
US

V. Phone/Fax

Practice location:
  • Phone: 847-640-4440
  • Fax: 847-437-2770
Mailing address:
  • Phone: 847-854-5192
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number03657907
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: