Individual
JOHN LAVACCARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1555 BARRINGTON RD, HOFFMAN ESTATES, IL 60169-1019
(847) 939-5170
Mailing address
PO BOX 419, PARK RIDGE, IL 60068-0419
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
IL
Other
Enumeration date
02/23/2006
Last updated
11/05/2007
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