Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 016005452 | IL |
NPI | 1063644052 |
---|---|
Provider Name | Dr. Kaye Lagdaan |
First Address | Chicago, IL 60618-3028 |
Second Address | Chicago, IL 60618-3028 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2009 |
Last Update Date | 23/04/2013 |