Individual
DR. SHELDON LAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9700 KENTON AVE, K401, SKOKIE, IL 60076-1259
(847) 674-9394
(847) 674-9791
Mailing address
9700 KENTON AVE, K401, SKOKIE, IL 60076-1259
(847) 674-9394
(847) 674-9791
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
3640463
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036040463
—
IL
Enumeration date
08/17/2005
Last updated
01/08/2010
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