SearchIllinois1041C0700X

Lafayette Bagley, LCSW

NPI 1285399576 · on the registry since 2021

Practice

Address
2071 N Southport Ave
Chicago, IL 60614
Phone
(312) 761-4707
Clinicians at this address
16

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-02-02

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