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NPI Code Detail

MEDICARE: DR. LAWRENCE DAVID WOLIN MD

MEDICARE:  DR. LAWRENCE DAVID WOLIN  MD
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
1207W00000XOphthalmology Physician036059451IL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4180037165OTHERILMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12599030001OTHERILDMERC
21623380OTHERILBCBS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982606836
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAWRENCE DAVID WOLIN MD
Provider Business Mailing Address
First Line : 1602 W CENTRAL RD
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60005-2407
Country : US
Telephone Number : 847-255-3515
Fax Number : 847-255-8727
Provider Business Practice Location Address
First Line : 1602 W CENTRAL RD
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60005-2407
Country : US
Telephone Number : 847-255-3515
Fax Number : 847-255-8727
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2005
Last Update Date : 06/01/2012

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Directions to “ DR. LAWRENCE DAVID WOLIN MD” Practice Location

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