Individual
JOSEPH PATRICK LAGATTUTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
26W171 ROOSEVELT RD, WHEATON, IL 60187-6002
(630) 909-7290
Mailing address
8406 W CRAIN ST, NILES, IL 60714-1845
(224) 805-0369
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1295189033
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295189033
—
IL
Enumeration date
04/18/2016
Last updated
12/28/2018
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