Individual
ANDREA LACAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
5919 W CERMAK RD, CICERO, IL 60804-2136
(708) 222-6600
(708) 222-1636
Mailing address
5919 W CERMAK RD, CICERO, IL 60804-2136
(708) 222-6600
(708) 222-1636
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
021001691
IL
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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