Lakota Treese, Karole A
Lakota Treese, Karole A is an individual health care provider with primary practice located at 14 W Lake St , Oak Park IL 60302-2606. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Lakota Treese, Karole A can be contacted via phone (708) 383-0113.Contact Information
Primary practice address
14 W Lake St
Oak Park IL 60302-2606
Phone: (708) 383-0113
Fax: (708) 383-9911
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036103349 | Illinois |
Profile Details
| NPI number | 1952365488 |
|---|---|
| LBN Legal business name | Lakota Treese, Karole A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2006 |
| Last updated | Dec 24th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952365488 | NPPES |
| Illinois | MEDICAID | 036103349 |
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