Lava, James S

Lava, James S is an sole proprietor health care provider with primary practice located at 1415 Lake St , Evanston IL 60201-4059. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Lava, James S can be contacted via phone (847) 332-1744.

Contact Information

Primary practice address
1415 Lake St Evanston IL 60201-4059
Phone: (847) 332-1744
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036-060303 Illinois

Profile Details

NPI number 1538106745
LBN Legal business name Lava, James S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2006
Last updated Jul 23rd, 2008 - about 18 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 1538106745 NPPES
Illinois MEDICAID 036024872
Illinois MEDICAID 036060303

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