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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 5 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 1992915805 NPPES
Illinois MEDICAID 036124358

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