SearchIllinois225100000X

Ernest William Lao

NPI 1558769885 · on the registry since 2014 · sole proprietor

Practice

Address
4440 N Kedzie Ave # U-401
Chicago, IL 60625
Phone
(312) 576-0863

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-12-18

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