Segalite, Lara

Segalite, Lara is an individual health care provider with primary practice located at 1875 W Dempster Suite 470 , Park Ridge IL 60068. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Segalite, Lara can be contacted via phone (847) 795-3100.

Contact Information

Primary practice address
1875 W Dempster Suite 470 Park Ridge IL 60068
Fax: (847) 723-5882
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 036-093983 Illinois

Profile Details

NPI number 1700895257
LBN Legal business name Segalite, Lara
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Jul 22nd, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700895257 NPPES
Illinois MEDICAID 036093983

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