Individual
LASHONDA SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D,
Contact information
Practice address
6434 W NORTH AVE, CHICAGO, IL 60707-4030
(773) 836-3000
Mailing address
6434 W NORTH AVE, CHICAGO, IL 60707-4030
(773) 836-3000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036102582
IL
Other
Enumeration date
10/02/2006
Last updated
04/23/2012
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