Individual
KAROLE A LAKOTA TREESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14 W LAKE ST, OAK PARK, IL 60302-2606
(708) 383-0113
(708) 383-9911
Mailing address
14 W LAKE ST, OAK PARK, IL 60302-2606
(708) 383-0113
(708) 383-9911
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036103349
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036103349
—
IL
Enumeration date
04/13/2006
Last updated
12/24/2019
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