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1528615101
MICHAEL LA
EVANSTON, IL
NPI
1528615101
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085008014)
Enumeration Date
2019-08-20
Last Update Date
2024-05-23
Business Address
MICHAEL LA PA-C
1000 CENTRAL ST STE 640
EVANSTON, IL 60201-1780
Phone number: 847-982-6710
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Mailing Address
MICHAEL LA PA-C
2650 RIDGE AVE
EVANSTON, IL 60201-1700
Phone number:
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