Individual
JOHN DALE LIGHTFOOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1941 ROHLWING RD, ROLLING MEADOWS, IL 60008-1338
(847) 618-0850
(847) 618-0859
Mailing address
1941 ROHLWING RD, ROLLING MEADOWS, IL 60008-1338
(847) 618-0850
(847) 618-0859
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036061369
IL
Other
Enumeration date
06/06/2006
Last updated
05/05/2021
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