LANE M LAGATTUTA

HINES, IL
NPI1174015168
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: IL  125.072770)
Additional Taxonomies207QS0010X Family Medicine, Sports Medicine
(Licence: IL  036159941)
Enumeration Date2018-06-05
Last Update Date2024-02-29
Business Address
LANE M LAGATTUTA DO
5000 S 5TH AVE
HINES, IL 60141-3030
Phone number: 708-202-2282
Mailing Address
LANE M LAGATTUTA DO
3249 OAK PARK AVE
BERWYN, IL 60402-3429
Phone number: 708-783-9100