Individual
DR. SHADI LATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17333 LA GRANGE RD STE 200, TINLEY PARK, IL 60487-7510
(708) 342-1900
(708) 745-9993
Mailing address
17333 LA GRANGE RD STE 200, TINLEY PARK, IL 60487-7510
(708) 342-1900
(708) 745-9993
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
036121973
IL
207RH0003X
Hematology & Oncology Physician
MD-56912
IA
Other
Enumeration date
07/02/2007
Last updated
05/11/2026
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