Individual
DR. JUSTIN MARK LAREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1010 EXECUTIVE DR, SUITE 250, WESTMONT, IL 60559-6135
(630) 920-2350
(630) 920-9381
Mailing address
550 W OGDEN AVE, HINSDALE, IL 60521-3186
(630) 323-6116
(630) 323-6169
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036124358
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036124358
—
IL
Enumeration date
05/22/2007
Last updated
12/07/2021
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