Individual
DR. KAITLYN LAGESSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1700 N WESTERN AVE, CHICAGO, IL 60647-5324
(312) 620-7733
Mailing address
1700 N WESTERN AVE, CHICAGO, IL 60647-5324
(312) 620-7733
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.032623
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019.032623
STATE OF ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
Enumeration date
06/02/2020
Last updated
05/04/2026
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