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Individual

LAFAYETTE SINGLETON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-6000
Mailing address
1151 WISCONSIN AVE, OAK PARK, IL 60304-1838
(708) 386-0181

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
036057775
IL
2084N0400X
Neurology Physician
Primary
036-057775
IL
2084N0600X
Clinical Neurophysiology Physician
036-057775
IL
2084V0102X
Vascular Neurology Physician
036-057775
IL

Other

Enumeration date
08/05/2006
Last updated
04/30/2021
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