Individual
CHARLES EDWARD LAURITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1740 W TAYLOR ST, SUITE 3200, MAIL CODE 515, CHICAGO, IL 60612-7232
(312) 996-4020
Mailing address
430 FOX MEADOW DR, NORTHFIELD, IL 60093-4301
(847) 881-2550
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
IL
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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