Noel E. Lasala, M.D.
Family Medicine in Chicago, IL. Individual provider (NPI-1).
NPI number1386646172
StatusActive
Last updated in NPPESMar 22, 2021
Details
- NPI
- 1386646172
- Entity type
- Individual (NPI-1)
- Name
- Noel E. Lasala
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 11, 2005
- Certification date
- Mar 22, 2021
- Last updated
- Mar 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 036083223 | IL | Yes |
Practice location
3224 W Armitage AveChicago, IL 60647-3716
Phone 773-645-0096
Mailing address
520 E 22nd StLombard, IL 60148-6110
Phone 630-874-2542 · Fax 630-874-2642
Other practice locations
3758 W Chicago Ave
Chicago, IL 60651-3823
Chicago, IL 60651-3823
Phone 773-235-0626
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