Individual
JOSEPH MICHAEL LACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1051 ESSINGTON RD STE 265, JOLIET, IL 60435-2801
(815) 300-7764
Mailing address
1051 ESSINGTON RD STE 265, JOLIET, IL 60435-2801
(815) 300-7764
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036138941
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F400249339
MEDICARE PTAN
IL
Enumeration date
03/12/2013
Last updated
08/06/2021
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