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Organization
LAWRENCE D. WOLIN, M.D.,S.C.
Active
Organization
LAWRENCE D. WOLIN, M.D.,S.C.
Active
Parent organization
LAWRENCE D. WOLIN, M.D.,S.C.
Other names
Northwest Ophthalmology
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAWRENCE D. WOLIN, M.D.,S.C.
Authorized official
DR. LAWRENCE D WOLIN MD (PHYSICIAN)
(847) 255-3515
Entity
Organization
Contact information
Practice address
1602 W CENTRAL RD, ARLINGTON HEIGHTS, IL 60005-2407
(847) 255-3515
(847) 255-8727
Mailing address
1602 W CENTRAL RD, ARLINGTON HEIGHTS, IL 60005-2407
(847) 255-3515
(847) 255-8727
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036059451
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036059451
—
IL
01
—
1623380
BCBS
IL
01
—
180037165
MEDIARE RAILROAD
IL
Enumeration date
12/03/2007
Last updated
02/14/2011
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