Lara, Rick

Lara, Rick is an sole proprietor health care provider with primary practice located at 2133 W Lexington St 2Nd Floor, Chicago IL 60612-3707. He recently has only one registered license in Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, which is considered as his primary health care specialty. Lara, Rick can be contacted via phone (312) 746-7832.

Contact Information

Primary practice address
2133 W Lexington St 2Nd Floor Chicago IL 60612-3707
Fax: (312) 746-6526
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X 001151 Illinois

Profile Details

NPI number 1740590652
LBN Legal business name Lara, Rick
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2010
Last updated Oct 13th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740590652 NPPES
Illinois Other 001151 RISK ASSESSOR

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