Provider Demographics
NPI:1770630212
Name:ROBBINS, LAWRENCE DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:DAVID
Last Name:ROBBINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2610 LAKE COOK RD.
Mailing Address - Street 2:SUITE 160
Mailing Address - City:RIVERWOODS
Mailing Address - State:IL
Mailing Address - Zip Code:60015
Mailing Address - Country:US
Mailing Address - Phone:847-374-9399
Mailing Address - Fax:847-374-9393
Practice Address - Street 1:2610 LAKE COOK RD.
Practice Address - Street 2:SUITE 160
Practice Address - City:RIVERWOODS
Practice Address - State:IL
Practice Address - Zip Code:60015
Practice Address - Country:US
Practice Address - Phone:847-374-9399
Practice Address - Fax:847-374-9393
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL336029982081P0301X
IL036-0656602084N0400X
IL0360656602084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2081P0301XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationBrain Injury Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILD16104Medicare UPIN
IL754690Medicare ID - Type Unspecified