Lazaroff, Jake
Lazaroff, Jake is an individual health care provider with primary practice located at 5841 S Maryland Ave # Mc5067 , Chicago IL 60637-1443. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Lazaroff, Jake can be contacted via phone (773) 702-0549.Contact Information
Primary practice address
5841 S Maryland Ave # Mc5067
Chicago IL 60637-1443
Phone: (773) 702-0549
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 2024012056 | Missouri |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 125074787 | Illinois |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 125074787 | Illinois |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 2024012056 | Missouri |
Profile Details
| NPI number | 1740654110 |
|---|---|
| LBN Legal business name | Lazaroff, Jake |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2015 |
| Last updated | Jul 26th, 2024 - about 2 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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