Organization
JAMES LAVELL D.P.M., LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES LAVELL D.P.M. (PRESIDENT)
(773) 525-0204
Entity
Organization
Contact information
Practice address
2032 W IRVING PARK RD, CHICAGO, IL 60618-3910
(773) 525-0204
(773) 525-5098
Mailing address
2032 W IRVING PARK RD, CHICAGO, IL 60618-3910
(773) 525-0204
(773) 525-5098
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016003259
IL
Other
Enumeration date
03/07/2008
Last updated
03/10/2008
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