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Kevin M Lage
Family Nurse Practitioner in Lake Forest, Illinois
NPI 1598177628

Kevin M Lage is a Family Nurse Practitioner based in Chicago, IL and is specialized in Family. Kevin M Lage practices in Lake Forest, IL. The NPI Number for Kevin M Lage is 1598177628 and holds a License No. RN1019749 (Illinois).

The current practice location address for Kevin M Lage is 660 N Westmoreland Rd, Lake Forest, IL and can be reached out via phone at 312-695-0665.

Location: 660 N Westmoreland Rd, Lake Forest, IL, 60611-4546
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598177628
Provider Name
Kevin M Lage
Credential
Provider Entity Type
Individual
Gender
Male
Address
660 N Westmoreland Rd, Lake Forest, IL, 60611-4546
Phone Number
312-695-0665
Fax Number
Provider Enumeration Date
05/23/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
660 N Westmoreland Rd
City
Lake Forest
State
Illinois
Zip
60045-1659
Phone Number
312-695-0665
Fax Number
person
Provider Business Mailing Address Details
Address
660 N Westmoreland Rd
City
Lake Forest
State
Illinois
Zip
60045-1659
Phone Number
312-695-0665
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
RN1019749 (District of Columbia)
Definition
Definition to come...
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