Organization
LAWRENCE D WOLIN MD SC
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 M.D. (PRESIDENT)
(847) 255-3515
Entity
Organization
Contact information
Practice address
1602 W CENTRAL ROAD, ARLINGTON HEIGHTS, IL 60005
(847) 255-3515
(847) 255-8727
Mailing address
1602 W CENTRAL ROAD, ARLINGTON HEIGHTS, IL 60005
(847) 255-3515
(847) 255-8727
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2599030001
MEDICARE DMERC
IL
Enumeration date
03/19/2007
Last updated
02/01/2008
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