CARLOS LARA

CHICAGO, IL
NPI1053816843
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084N0400X Psychiatry & Neurology Neurology
(Licence: IL  036159062)
Additional Taxonomies2084N0400X Psychiatry & Neurology Neurology
(Licence: IL  125072547)
Enumeration Date2018-03-26
Last Update Date2022-06-06
Business Address
CARLOS LARA MD
5841 S MARYLAND AVE
CHICAGO, IL 60637-1443
Phone number: 773-702-6222
Mailing Address
CARLOS LARA MD
150 HARVESTER DR STE 300
BURR RIDGE, IL 60527-5965
Phone number: 773-702-1150