Individual
DR. JAMES B LAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS/MD
Contact information
Practice address
3 S. PROSPECT, PARK RIDGE, IL 60068-5014
(847) 823-3441
Mailing address
3 S. PROSPECT, PARK RIDGE, IL 60068-5014
(847) 823-3441
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019021144
IL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
019021144
IL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
019021144
IL
Other
Enumeration date
02/21/2012
Last updated
02/21/2012
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