Individual
LARA SEGALITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1875 W DEMPSTER SUITE 470, PARK RIDGE, IL 60068
(847) 795-3100
(847) 723-5882
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036-093983
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036093983
—
IL
Enumeration date
08/05/2006
Last updated
07/22/2022
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