Individual
DR. GIANLUCA LAZZARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5140 N CALIFORNIA AVE STE 560, CHICAGO, IL 60625-2577
(312) 480-1945
(773) 293-8879
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700
(847) 570-2040
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036-097662
IL
208600000X
Surgery Physician
Primary
036097662
IL
2086X0206X
Surgical Oncology Physician
036-097662
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01615715
BLUE CROSS BLUE SHIELD
IL
Enumeration date
01/09/2007
Last updated
05/19/2026
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