Individual
KENNETH LAPUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
472 ROUTE 47, SUGAR GROVE, IL 60554
(630) 466-6000
(630) 466-6001
Mailing address
472 ROUTE 47, SUGAR GROVE, IL 60554-8107
(630) 466-6000
(630) 466-6001
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209016859
IL
Other
Enumeration date
11/29/2017
Last updated
07/20/2020
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