Individual
DR. LAWRENCE M MAGEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3500 W PETERSON AVE, STE 401, CHICAGO, IL 60659
(773) 588-3090
(773) 588-3210
Mailing address
3500 W PETERSON AVE, STE 401, CHICAGO, IL 60659
(773) 588-3090
(773) 588-3210
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046008130
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001604768
BLUE CROSS BLUE SHIELD
IL
05
—
046008130
—
IL
01
—
410026723
RAILROAD MEDICARE
—
Enumeration date
11/15/2006
Last updated
04/02/2024
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