PATRICIA B. LAWRENCE (NPI# 1215141775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215141775 |
| Entity Type | Individual |
| Full Name | PATRICIA B. LAWRENCE |
| Credential | NP |
| Practice Address |
4709 Golf Rd Ste 900 Skokie IL 60076 |
| Mailing Address |
4709 Golf Rd Ste 900 Skokie IL 60076-1244 |
| Practice Telephone | 8476765394 |
| Practice Fax Number | 8476797183 |
| Mailing Telephone | 8476765394 |
| Mailing Fax Number | 8476797183 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2018-05-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
209-000204 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | IL STATE LIC | 209-000204 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4709 Golf Rd Ste 1250, Skokie, IL 600761238 | 8476765394 | 8476797183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295236669 | Patricia Lawrence | Licensed Vocational Nurse | 32 Meadowbrook Ln, Trophy Club, TX 76262-5636 | 2018-02-21 |
| 1417315631 | Patricia V Lawrence | Specialist | 400 E 96th St, Brooklyn, NY 11212-2623 | 2016-02-02 |
| 1811931314 | Patricia Lawrence | Social Worker | 1075 Broadway, Pleasantville, NY 10570-2346 | 2006-06-15 |
| 1871103820 | Patricia Lawrence | Behavior Technician | 500 Bi County Blvd Ste 450, Farmingdale, NY 11735-3995 | 2020-08-05 |
| 1619278009 | Patricia J Lawrence | Physical Therapy Assistant | 3802 N 91st Ave, Phoenix, AZ 85037-2368 | 2010-11-16 |
| 1700091949 | Patricia Ann Lawrence | Rehabilitation Practitioner | 40 Jon Barrett Rd, Patterson, NY 12563 | 2007-05-11 |
| 1871718304 | Patricia R Lawrence | Nurse Practitioner | 1405 Clifton Road Ne, Csu, Atlanta, GA 30322 | 2007-04-17 |
| 1629088232 | Patricia Marie Lawrence | Nutritionist | 150 S Huntington Ave, Jamaica Plain, MA 02130-4817 | 2006-08-08 |
| 1528047677 | Patricia A Lawrence | Registered Nurse | 51 Sw Lee St, Newport, OR 97365-3823 | 2006-01-16 |
| Street Address |
4709 GOLF RD STE 900 |
| City | SKOKIE |
| State | IL |
| Zip Code | 60076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407852817 | Cathy Divincenzo | Pediatrics | 4709 Golf Rd Ste 900, Skokie, IL 60076 | 2005-06-22 |
| 1881183580 | Delia Mihaela Groza | Nurse Practitioner | 4709 Golf Rd Ste 900, Skokie, IL 60076-1244 | 2018-05-08 |
| 1043742885 | Pauline Ahn | Pediatrics | 4709 Golf Rd Ste 900, Skokie, IL 60076-1244 | 2017-03-31 |
| 1255705794 | Jessica A Fanucchi | Nurse Practitioner | 4709 Golf Rd Ste 900, Skokie, IL 60076 | 2015-11-20 |
| 1437549938 | Kirsten Hollett | Pediatrics | 4709 Golf Rd Ste 900, Skokie, IL 60076-1244 | 2015-02-04 |
| 1881008738 | Mary Maureen Boren | Pediatrics | 4709 Golf Rd Ste 900, Skokie, IL 60076 | 2014-06-19 |
| 1972807576 | Karen Lynn Gentile | Nurse Practitioner | 4709 Golf Rd Ste 900, Skokie, IL 60076 | 2010-12-22 |
| 1992023535 | Jean A. Russo | Nurse Practitioner | 4709 Golf Rd Ste 900, Skokie, IL 60076 | 2010-05-06 |
| 1659537371 | Colleen Helen Rusciolelli | Pediatrics | 4709 Golf Rd Ste 900, Skokie, IL 60076-1244 | 2008-08-01 |
| 1326263476 | Cathy Divincenzo Md Pediatrics Sc | Pediatrics | 4709 Golf Rd Ste 900, Skokie, IL 60076 | 2007-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902456999 | Gateway Foundation, Inc | Clinic/Center | 4028 W. Dempster, Ste 100, Skokie, IL 60076 | 2019-09-12 |
| 1336798255 | Renee Rosenberg | Speech-Language Pathologist | C/o East Prairie School, 7616 N. East Prairie Road, Skoke, IL 60076 | 2019-09-04 |
| 1710531223 | Dw Care Solutions | Hospice Care, Community Based | 4556 Oakton St, Suite 205, Skokie, IL 60076 | 2019-08-01 |
| 1689228157 | Elaine Ng | Pharmacist | 9650 Gross Point Rd Suite 4900, Skokie, IL 60076 | 2019-08-01 |
| 1881169381 | Kathleen Pyles | Registered Nurse | 9650 Gross Point Rd # 4900, Skokie, IL 60076 | 2018-10-10 |
| 1174013452 | Vitae Health of Illinois LLC | Social Worker | 3450 Oakton St, Skokie, IL 60076 | 2018-05-13 |
| 1396253530 | Jodi Novick Okner | Social Worker | 9134 Kilbourn Avenue, Skokie, IL 60076 | 2018-01-22 |
| 1700335924 | Olumide Adeyemo | Nurse Practitioner | 4711 Golf Rd Suite 1250, Skokie, IL 60076 | 2016-09-28 |
| 1255705315 | Malka Rokach | Pharmacist | 3358 W Touhy, Skokie, IL 60076 | 2015-11-30 |
| 1578932620 | Katrina Margaret Keithley | Physician Assistant | 9669 Kenton Ave Ste 203, Skokie, IL 60076 | 2015-09-18 |
| Find all providers in zip 60076 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881183580 | Delia Mihaela Groza | Nurse Practitioner | 4709 Golf Rd Ste 900, Skokie, IL 60076-1244 | 2018-05-08 |
| 1255705794 | Jessica A Fanucchi | Nurse Practitioner | 4709 Golf Rd Ste 900, Skokie, IL 60076 | 2015-11-20 |
| 1992023535 | Jean A. Russo | Nurse Practitioner | 4709 Golf Rd Ste 900, Skokie, IL 60076 | 2010-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881291 | Sarah Zeigler Olsen | Nurse Practitioner | 600 S Randall Rd Ste 220, Algonquin, IL 60102-5937 | 2020-11-02 |
| 1467051151 | Mallory Jo Brooks | Nurse Practitioner | 2306 E County Road 1800 N, Carthage, IL 62321-3101 | 2020-10-22 |
| 1508475294 | Diedra M Ahlert | Nurse Practitioner | 1320 Lexington Dr, Collinsville, IL 62234-4348 | 2020-07-28 |
| 1679182802 | Danielle L Shubert | Nurse Practitioner | 9423 Holy Cross Ln Ste 111, Breese, IL 62230-3510 | 2020-07-23 |
| 1154962900 | Janna Hoppe | Nurse Practitioner | 24600 W 127th St Ste 345, Plainfield, IL 60585-9507 | 2019-10-02 |
| 1841858529 | Katherine R Conkling | Nurse Practitioner | 4941 Benchmark Centre Dr Ste 100, Swansea, IL 62226-2038 | 2019-05-29 |
| 1942767280 | Danielle R Wetzel | Nurse Practitioner | 2040 Ogden Ave Ste 215, Aurora, IL 60504-7205 | 2019-02-22 |
| 1669937231 | Colleen Ann Larkin | Nurse Practitioner | 10939 S Troy St, Chicago, IL 60655-2211 | 2019-02-07 |
| 1568939684 | Katelyn Marie Reed | Nurse Practitioner | 415 N 9th St Ste 4w64, Springfield, IL 62702-5303 | 2018-10-26 |
| 1255813218 | Michelle Christine Bollinger | Nurse Practitioner | 415 N 9th St Ste 4w16, Springfield, IL 62702-5303 | 2018-09-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.