Lareau, Justin Mark
Lareau, Justin Mark is an individual health care provider with primary practice located at 1010 Executive Dr Suite 250, Westmont IL 60559-6135. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Lareau, Justin Mark can be contacted via phone (630) 920-2350.Contact Information
Primary practice address
1010 Executive Dr Suite 250
Westmont IL 60559-6135
Phone: (630) 920-2350
Fax: (630) 920-9381
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 036124358 | Illinois |
Profile Details
| NPI number | 1992915805 |
|---|---|
| LBN Legal business name | Lareau, Justin Mark |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2007 |
| Last updated | Dec 7th, 2021 - about 3 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 | 1992915805 | NPPES |
| Illinois | MEDICAID | 036124358 |
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