Individual
JAKE LAVKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3 BRIGHTON PL, BURR RIDGE, IL 60527-5751
(630) 669-7410
Mailing address
3 BRIGHTON PL, BURR RIDGE, IL 60527-5751
(708) 990-2573
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
041450611
IL
Other
Enumeration date
06/15/2017
Last updated
09/28/2017
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