| NPI | 1174015168 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2018-06-05 |
| Last Updated | 2024-02-29 |
| Mailing Address | 3249 Oak Park Ave Berwyn, IL 60402-3429 United States Phone: (708) 783-9100 📍 View Map |
| Primary Practice Address | 5000 S 5th Ave Hines, IL 60141-3030 United States Phone: (708) 202-2282 | Fax: (708) 202-2281 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207QS0010X – Family Medicine, Sports Medicine | IL | 036159941 |
| Yes | 208100000X – Physical Medicine & Rehabilitation | IL | 125.072770 |
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About NPI 1174015168
Lane M Lagattuta DO is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1174015168. The primary specialty listed is Physical Medicine & Rehabilitation. The provider is located in Hines, IL. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2018-06-05. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1174015168?
NPI 1174015168 belongs to Lane M Lagattuta DO, a Physical Medicine & Rehabilitation in Hines, IL. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1174015168 active?
The current status of NPI 1174015168 in the NPPES registry is Active. The record was last updated on 2024-02-29.
What specialty is NPI 1174015168?
NPI 1174015168 is classified under the taxonomy Physical Medicine & Rehabilitation. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1174015168?
You can verify NPI 1174015168 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1174015168?
The primary practice address on file for NPI 1174015168 is 5000 S 5th Ave, Hines, IL 60141-3030. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1174015168 issued?
NPI 1174015168 was first issued (enumerated) on 2018-06-05. The NPPES record was last updated on 2024-02-29.
Practice Location Map
Lane M Lagattuta is located at 5000 S 5th Ave, Hines, IL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Lane M Lagattuta. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1174015168. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Family Medicine, Sports Medicine | 036159941 | IL |
| Physical Medicine & Rehabilitation | 125.072770 | IL |