Search › Illinois › 164W00000X
Jonathan Lara
NPI 1093682817 · on the registry since 2025 · sole proprietor
Practice
- Address
- 812 Aster Ct
North Aurora, IL 60542 - Phone
- (870) 331-0170
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-10-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois