Search › Illinois › 208000000X
Jody Lack, MD
NPI 1235351818 · on the registry since 2007
Practice
- Address
- 415 N 9th St
Ste 4w64
Springfield, IL 62702 - Phone
- (217) 545-0003
- Fax
- (217) 545-7615
- Clinicians at this address
- 87
Registry record
- Primary taxonomy
- 208000000X
208000000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-01-13
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