Individual
KEVIN J LAPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
675 N SAINT CLAIR ST STE 19-100, CHICAGO, IL 60611-5969
(312) 695-4965
(312) 695-2461
Mailing address
675 N SAINT CLAIR ST STE 19-100, CHICAGO, IL 60611-5969
(312) 695-4965
(312) 695-2461
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085007515
IL
Other
Enumeration date
01/22/2020
Last updated
09/25/2023
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