Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0200X | Radiology | 038--10128 | IL |
Y | 213ER0200X | Radiology | 038--10128 | IL |
NPI | 1922158559 |
---|---|
Provider Name | Dr. Evelyn Ellen Laptook |
First Address | Lombard, IL 60148-3429 |
Second Address | Lombard, IL 60148-3429 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2007 |
Last Update Date | 08/07/2007 |