Individual
MONA LALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
742 N ADA ST, CHICAGO, IL 60642-8594
(773) 270-8223
Mailing address
1921 N HONORE ST, CHICAGO, IL 60622-1044
(773) 458-5586
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036-114453
IL
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
Primary
036114453
IL
261QP2300X
Primary Care Clinic/Center
036-114453
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036114453
—
IL
Enumeration date
06/09/2006
Last updated
02/24/2025
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