Provider Demographics
NPI:1386758506
Name:LAWLER, ROBERT CHRISTOPHER
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:CHRISTOPHER
Last Name:LAWLER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1121 WARREN AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-3570
Mailing Address - Country:US
Mailing Address - Phone:630-968-2144
Mailing Address - Fax:630-968-2337
Practice Address - Street 1:1121 WARREN AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-3570
Practice Address - Country:US
Practice Address - Phone:630-968-2144
Practice Address - Fax:630-968-2337
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2013-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036083415207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036083415Medicaid
IL036083415Medicaid
ILK02922Medicare PIN
ILF49662Medicare UPIN