Individual
JASON LAFAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1801 W TAYLOR ST STE 2E, CHICAGO, IL 60612-4795
(312) 996-7416
Mailing address
1801 W TAYLOR ST STE 2E, CHICAGO, IL 60612-4795
(312) 996-7416
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036164445
IL
Other
Enumeration date
06/13/2019
Last updated
11/15/2023
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