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Individual

DR. CARLO LA FORGIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
155 E BRUSH HILL RD, ELMHURST, IL 60126
(331) 221-8952
(331) 221-3782
Mailing address
4201 WINFIELD RD, 3RD FLOOR - CENTRALIZED SERVICES, WARRENVILLE, IL 60555-4025

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-116517
IL
208M00000X
Hospitalist Physician
Primary
036116517
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036-116517
IL STATE LIC
IL
Enumeration date
03/12/2007
Last updated
12/22/2021
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