Dr Eden Louise Pappo Lake, MD is a medicare enrolled "Dermatology" physician in La Grange Park, Illinois. Her current practice location is
321 N La Grange Rd, La Grange Park, Illinois. You can reach out to her office (for appointments etc.) via phone at
(708) 485-1271.
Dr Eden Louise Pappo Lake is licensed to practice in Illinois (license number 036.143392) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1578904892.
Physician's Profile
Full Name | Dr Eden Louise Pappo Lake |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 321 N La Grange Rd, La Grange Park, Illinois |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Eden Louise Pappo Lake attended and graduated from in
NPI Data:
- NPI Number: 1578904892
- Provider Enumeration Date: 07/15/2013
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Eden Louise Pappo Lake such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578904892 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 125062828 (Illinois) | Secondary |
207N00000X | Dermatology | 036.143392 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Eden Louise Pappo Lake is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Eden Louise Pappo Lake, MD 321 N La Grange Rd, La Grange Park, IL 60526-5622 Ph: (708) 485-1271 | Dr Eden Louise Pappo Lake, MD 321 N La Grange Rd, La Grange Park, IL 60526-5622 Ph: (708) 485-1271 |
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