Lane M Lagattuta, DO | |
5000 S 5th Ave, Hines, IL 60141-3030 | |
(708) 202-2282 | |
(708) 202-2281 |
Full Name | Lane M Lagattuta |
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Gender | Female |
Speciality | Physical Medicine & Rehabilitation |
Location | 5000 S 5th Ave, Hines, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174015168 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QS0010X | Family Medicine - Sports Medicine | 036159941 (Illinois) | Secondary |
208100000X | Physical Medicine & Rehabilitation | 125.072770 (Illinois) | Primary |
Entity Name | Loyola Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376041954 PECOS PAC ID: 6305109547 Enrollment ID: O20180420002063 |
Mailing Address | Practice Location Address |
---|---|
Lane M Lagattuta, DO 3249 Oak Park Ave, Berwyn, IL 60402-3429 Ph: (708) 783-9100 | Lane M Lagattuta, DO 5000 S 5th Ave, Hines, IL 60141-3030 Ph: (708) 202-2282 |
Dr. Melanie R Querubin-atonson, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 5th Ave And Roosevelt, Hines, IL 60141 Phone: 708-202-8387 | |
Robbie Elizabeth Logan, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: Hines Vamc Blg 128, 5th And Roosevelt Rd, Hines, IL 60141 Phone: 708-202-2241 Fax: 708-202-7960 | |
Yvonne Patrice Lucero, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 5th Avenue At Roosevelt Road, Bldg 128, Hines, IL 60141 Phone: 708-202-2241 Fax: 708-202-7960 | |
Marilyn Pacheco, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 5000 S 5th Ave, Hines, IL 60141 Phone: 708-202-2282 Fax: 708-202-2281 | |
Dr. Sharon Yee, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 5000 S 5th Ave # 128, Hines Va Hospital, Hines, IL 60141 Phone: 708-202-8387 | |
Dr. Ning Jiang, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 5000 S 5th Ave Bldg 128, Hines, IL 60141 Phone: 708-202-2241 Fax: 708-202-7960 | |
Monica Steiner, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 5th And Roosevelt Rd, Hines, IL 60141 Phone: 708-202-4981 |