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PAUL MICHAEL LACANIENTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1620 W HARRISON ST, CHICAGO, IL 60612-3801
(312) 942-5000
Mailing address
1620 W HARRISON ST, CHICAGO, IL 60612-3801

Taxonomy

Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
Primary
036.170809
IL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/23/2020
Last updated
07/22/2024
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