Individual
LATA SANTA INES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
373 SUMMIT ST, SUITE 105, ELGIN, IL 60120
(847) 888-3631
Mailing address
3351 SANDSTONE CT, LAKE IN THE HILLS, IL 60156-4425
(224) 231-7335
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
49654
WI
207V00000X
Obstetrics & Gynecology Physician
8671780
ID
207V00000X
Obstetrics & Gynecology Physician
Primary
ME151048
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036124106
—
IL
Enumeration date
03/01/2007
Last updated
12/11/2025
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