NPI 1154881761

Richard James Laveau

Practitioner Emergency Medicine Physician Hazel Crest, IL

Practice location

Address: 17800 Kedzie Ave, Hazel Crest, IL 60429-2029
Phone: (708) 799-8000
Fax: (708) 213-0144
Mailing address: 29373 Network Pl, Chicago, IL 60673-1293

Registered specialties (2)

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 1154881761 (IL)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1154881761
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Mar 2019
Record last updated: 21 Oct 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.