Search › Illinois › 163WH0200X
Jake Lavko
NPI 1992235659 · on the registry since 2017 · sole proprietor
Practice
- Address
- 3 Brighton Pl
Burr Ridge, IL 60527 - Phone
- (630) 669-7410
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 163WH0200X
163WH0200X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-09-28
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