Organization
LAVOS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FADI ISA DPM (OWNER)
(312) 820-6464
Entity
Organization
Contact information
Practice address
1718 N CLYBOURN AVE, CHICAGO, IL 60614-7256
(312) 820-6464
(833) 428-4605
Mailing address
1718 N CLYBOURN AVE, CHICAGO, IL 60614-7256
(312) 820-6464
(833) 428-4605
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
11/26/2025
Last updated
11/26/2025
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