Individual
DR. JULIETA LASALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
17800 KEDZIE AVE, HAZEL CREST, IL 60429-2029
(312) 609-0300
(773) 213-0378
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-144164
IL
207Q00000X
Family Medicine Physician
125067701
LA
Other
Enumeration date
07/20/2015
Last updated
02/11/2026
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