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Individual

EDUARDO LAXA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RSA

Contact information

Practice address
15600 CHAPEL HILL RD, ORLAND PARK, IL 60462-5931
(708) 534-2168
Mailing address
PO BOX 309, MONEE, IL 60449-0309
(708) 534-2168
(708) 328-3668

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
238.000005
IL

Other

Enumeration date
11/08/2007
Last updated
01/26/2015
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