# LAWRENCE D. WOLIN, M.D.,S.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LAWRENCE D. WOLIN, M.D.,S.C.
- **Other names:** Northwest Ophthalmology
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1669654513
- **Legal business name:** LAWRENCE D. WOLIN, M.D.,S.C.
- **Authorized official:** DR. LAWRENCE D WOLIN MD (PHYSICIAN)
- **Authorized official phone:** (847) 255-3515

## Contact information

- **Practice address:** 1602 W CENTRAL RD, ARLINGTON HEIGHTS, IL 60005-2407
- **Practice address phone:** (847) 255-3515
- **Practice address fax:** (847) 255-8727
- **Mailing address:** 1602 W CENTRAL RD, ARLINGTON HEIGHTS, IL 60005-2407
- **Mailing address phone:** (847) 255-3515
- **Mailing address fax:** (847) 255-8727

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 036059451 | IL | Yes |

## Other

- **Enumeration date:** 12/03/2007
- **Last updated:** 02/14/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 036059451 | — | IL |
| 01 | — | 1623380 | BCBS | IL |
| 01 | — | 180037165 | MEDIARE RAILROAD | IL |