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Deactivated NPI 1750543831 Deactivated / Inactive NPI Male Practitioner

Dr. Edward Spafford Lyon , MD

Urology • Chicago, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Edward Lyon has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 30, 2008
NPI Deactivation Date January 28, 2020
Total Practice Duration ~12 Years of Practice (2008 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Edward Lyon, MD was a registered Urology practicing in Chicago, IL. Throughout an active medical career spanning 12 years, Dr. Lyon provided care at the practice location at 11225 S LOTHAIR AVE until profile deactivation on 2020-01-28.

Practice Location & Contact Primary Location

Practice Address

11225 S Lothair Ave

Chicago, IL 606434131

Telephone 7734453215
Fax 7734458813

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.9 Yrs
State Avg: 26.7 Yrs
Regional Practice Density
205 Specialists

Practicing in Chicago, IL (663 Statewide)

Telehealth Adoption Rate
27.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License IL 036033033

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 28, 2020

Record deactivated on January 28, 2020

NPI Profile Active June 30, 2008

NPI status registered as active in NPPES database

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Updated Practice Location June 30, 2008

Registered at 11225 S LOTHAIR AVE, CHICAGO, IL 606434131 (Tel: 7734453215)

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Updated Business Mailing Address June 30, 2008

Registered at 11225 S LOTHAIR AVE, CHICAGO, IL 606434131 (Tel: 7734453215)

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Provider Name / Credentials Updated June 30, 2008

Recorded as EDWARD LYON, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2008

Urology (License #036033033 in IL)

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Initial NPI Registration & Enumeration June 30, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750543831
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 30, 2008
Last Update: June 30, 2008
Deactivation Date: January 28, 2020

Mailing Address

11225 S Lothair Ave

Chicago, IL 606434131

Phone: 7734453215

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.