LARA MACK

CHICAGO, IL
NPI1679854459
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  1098900)
Enumeration Date2011-09-07
Last Update Date2016-02-29
Business Address
-- LARA MACK PA-C
251 E HURON ST
CHICAGO, IL 60611-2908
Phone number: 312-926-6222
Mailing Address
-- LARA MACK PA-C
211 E ONTARIO ST SUITE 200
CHICAGO, IL 60611-3468
Phone number: 312-926-6222
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