Individual
MOLLY LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5841 S. MARYLAND AVE, CHICAGO, IL 60637-1700
(773) 702-6222
(773) 834-7250
Mailing address
150 HARVESTER DR STE 300, BURR RIDGE, IL 60527-5965
(773) 702-1150
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.079511
IL
2084N0400X
Neurology Physician
Primary
125.079511
IL
Other
Enumeration date
09/29/2018
Last updated
06/26/2023
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