Lage, Kevin M

Lage, Kevin M is an individual health care provider with primary practice located at 660 N Westmoreland Rd , Lake Forest IL 60045-1659. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Lage, Kevin M can be contacted via phone (312) 695-0665.

Contact Information

Primary practice address
660 N Westmoreland Rd Lake Forest IL 60045-1659
Phone: (312) 695-0665
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN1019749 District of Columbia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A136114 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024171692 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209011664 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R217017 Maryland

Profile Details

NPI number 1598177628
LBN Legal business name Lage, Kevin M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2014
Last updated Apr 21st, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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