Lasala, Julieta
Lasala, Julieta is an sole proprietor health care provider with primary practice located at 100 W 162Nd St , South Holland IL 60473-2003. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Lasala, Julieta can be contacted via phone (312) 609-0300.Contact Information
Primary practice address
100 W 162Nd St
South Holland IL 60473-2003
Phone: (312) 609-0300
Fax: (312) 842-5897
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 125067701 | Louisiana |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036-144164 | Illinois |
Profile Details
| NPI number | 1043694045 |
|---|---|
| LBN Legal business name | Lasala, Julieta |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 20th, 2015 |
| Last updated | Apr 25th, 2023 - about 2 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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