Organization
JOHN A LAVACCARE MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN LAVACCARE M.D. (PRESIDENT)
(847) 939-5169
Entity
Organization
Contact information
Practice address
1555 BARRINGTON RD, 205, HOFFMAN ESTATES, IL 60169-1019
(847) 939-5169
(847) 939-5169
Mailing address
PO BOX 419, PARK RIDGE, IL 60068-0419
(847) 939-5169
(847) 939-5169
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036099823
IL
Other
Enumeration date
01/28/2009
Last updated
01/28/2009
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