Individual
VAISHALI S LAFITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3001 GREEN BAY RD DEPT 1332D103, NORTH CHICAGO, IL 60064-3048
(224) 610-1536
Mailing address
27387 N SAINT MARYS RD, METTAWA, IL 60048-9682
(708) 254-0524
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
MD-47326
IA
2085N0700X
Neuroradiology Physician
MD-47839
IA
2085R0202X
Diagnostic Radiology Physician
Primary
036-121676
IL
2085R0202X
Diagnostic Radiology Physician
51370
WI
2085R0202X
Diagnostic Radiology Physician
MD-47326
IA
2085R0202X
Diagnostic Radiology Physician
MD469135
PA
2085U0001X
Diagnostic Ultrasound Physician
MD-47839
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036121676
—
IL
01
—
1053583633
NPI #
—
01
—
202926
GROUP PTAN
IL
01
—
212545
GROUP PTAN
IL
Enumeration date
03/24/2008
Last updated
05/14/2025
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