Individual
CAROLYN KELLY LAGATTUTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3936 N MILWAUKEE AVE, CHICAGO, IL 60641-2703
(773) 736-6125
(773) 736-9629
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-151860
IL
207Q00000X
Family Medicine Physician
125.071306
IL
Other
Enumeration date
05/11/2017
Last updated
04/10/2025
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