Dr. Caitlin Elizabeth Polley Lassus, M.D.
Family Medicine in Chicago, IL. Individual provider (NPI-1).
NPI number1891007696
StatusActive
Last updated in NPPESAug 10, 2021
Details
- NPI
- 1891007696
- Entity type
- Individual (NPI-1)
- Name
- Dr. Caitlin Elizabeth Polley Lassus
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 8, 2010
- Certification date
- Aug 10, 2021
- Last updated
- Aug 10, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 036135716 | IL | Yes |
Other names
- Caitlin Elizabeth Polley (Former Name)
Practice location
4747 N Kedzie AveChicago, IL 60625-4420
Phone 312-666-3494
Mailing address
4747 N Kedzie AveChicago, IL 60625-4420
Phone 312-666-3494
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