Organization · NPI-2
A Lota Healthcare Ltd
Obstetrics & Gynecology · Mokena, IL
NPI number1437755147
StatusActive
Last updated in NPPESJan 17, 2022
Details
- NPI
- 1437755147
- Entity type
- Organization (NPI-2)
- Legal business name
- A Lota Healthcare Ltd
- Organization subpart
- No
- Enumeration date
- Dec 8, 2020
- Certification date
- Jan 17, 2022
- Last updated
- Jan 17, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | – | – | Yes |
| 207Q00000X | Family Medicine | – | – | |
| 207VF0040X | Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery | – | – | |
| 261QR1100X | Clinic/Center, Research | – | – |
Practice location
10260 191st St Ste 100Mokena, IL 60448-8802
Phone 708-572-7669 · Fax 708-469-4358
Mailing address
9730 S Western Ave Ste 700Evergreen Park, IL 60805-2814
Phone 708-572-7669
Other practice locations
9730 S Western Ave Ste 700
Evergreen Park, IL 60805-2814
Evergreen Park, IL 60805-2814
Phone 708-572-7669 · Fax 708-469-4358
Authorized official
Eileen Johnson
Director
7085727606
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