Laura Lewallen
Orthopaedic Surgeon Pediatric Orthopaedic Surgeon
5841 S Maryland Ave # Mc3079
Chicago
, Illinois 60637-1443
Laura Lewallen
Orthopaedic Surgeon Pediatric Orthopaedic Surgeon
5841 S Maryland Ave # Mc3079
Chicago
, Illinois 60637-1443
(773) 702-1061
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About
Features
Specialties
- Orthopaedic Surgeon
- Pediatric Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Laura Lewallen
- 150 Harvester Dr Ste 300
- Burr Ridge, IL
- Zip : 60527-5965
- Phone : (773) 702-1061
Second Address
- Laura Lewallen
- 5841 S Maryland Ave # Mc3079
- Chicago, IL
- Zip : 60637-1443
- Phone : (773) 702-1000
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgeon | 036152563 | IL |
| N | 207XP3100X | Pediatric Orthopaedic Surgeon | 036152563 | IL |
National Provider Identifier
| NPI | 1285951723 |
|---|---|
| Provider Name | Laura Lewallen |
| First Address | Burr Ridge, IL 60527-5965 |
| Second Address | Chicago, IL 60637-1443 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/04/2010 |
| Last Update Date | 25/09/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| ENROLLED | (05) | MN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.