Provider Demographics
NPI:1225213457
Name:LAWRENCE J. BEURET, M.D.,S.C.
Entity Type:Organization
Organization Name:LAWRENCE J. BEURET, M.D.,S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:J
Authorized Official - Last Name:BEURE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-303-1800
Mailing Address - Street 1:4811 EMERSON AVE
Mailing Address - Street 2:SUITE 209
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60067-0500
Mailing Address - Country:US
Mailing Address - Phone:847-303-1800
Mailing Address - Fax:847-303-1858
Practice Address - Street 1:4811 EMERSON AVE
Practice Address - Street 2:SUITE 209
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60067-0500
Practice Address - Country:US
Practice Address - Phone:847-303-1800
Practice Address - Fax:847-303-1858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-07
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty