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NPI Code Detail

MEDICARE: DR. RONALD LAWTON M.D.

MEDICARE: DR. RONALD LAWTON M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician036-086902IL

General Provider Information

NPI Number : 1033199377
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RONALD LAWTON M.D.
Provider Business Mailing Address
First Line : 29373 NETWORK PL
Second Line :
City : CHICAGO
State : IL
Zip : 60673-1293
Country : US
Telephone Number : 847-390-5900
Fax Number :
Provider Business Practice Location Address
First Line : 17800 KEDZIE AVE
Second Line : EMERGENCY DEPARTMENT
City : HAZEL CREST
State : IL
Zip : 60429-2029
Country : US
Telephone Number : 773-363-1090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2006
Last Update Date : 05/31/2022

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