Whalio Doctors

NPI 1992915805

Justin Mark Lareau

Practitioner Orthopaedic Surgery Physician Westmont, IL

Practice location

Address
1010 Executive Dr Suite 250, Westmont, IL 60559-6135
Phone
(630) 920-2350
Fax
(630) 920-9381
Mailing address
550 W Ogden Ave, Hinsdale, IL 60521-3186

Registered specialties

Orthopaedic Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence 036124358 (IL)

Registry record

NPI
1992915805
Entity type
Individual
Sex (as registered)
Male
NPI issued
22 May 2007
Record last updated
7 Dec 2021

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.