Individual
JOHN W. LAUDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 BERTEAU AVE, ELMHURST, IL 60126-2966
(630) 833-1400
Mailing address
520 E 22ND ST, LOMBARD, IL 60148-6110
(630) 874-2542
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
036059139
IL
Other
Enumeration date
08/02/2005
Last updated
06/20/2008
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