Individual
DR. MAGDALA DANIELLE LAFONTANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M
Contact information
Practice address
6374 N LINCOLN AVE STE 205, CHICAGO, IL 60659-1283
(773) 866-9800
(773) 866-1733
Mailing address
6374 N LINCOLN AVE STE 205, CHICAGO, IL 60659-1283
(636) 279-1900
(636) 279-1013
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
016005805
IL
Other
Enumeration date
03/15/2011
Last updated
02/07/2020
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