MICHAEL LA

EVANSTON, IL
NPI1528615101
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085008014)
Enumeration Date2019-08-20
Last Update Date2024-05-23
Business Address
MICHAEL LA PA-C
1000 CENTRAL ST STE 640
EVANSTON, IL 60201-1780
Phone number: 847-982-6710
Mailing Address
MICHAEL LA PA-C
2650 RIDGE AVE
EVANSTON, IL 60201-1700
Phone number: