Kevin M Lage
NPI #1598177628 in Lake Forest, Illinois
Provider Information
- NPI Number
- 1598177628
- Entity Type
- Individual
- Name
- Kevin M Lage
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- May 23, 2014
- Last Updated
- Apr 21, 2016
Practice Location
- Address
- 660 N WESTMORELAND RD
- City
- Lake Forest
- State
- Illinois
- ZIP Code
- 60045-1659
- Phone
- (312) 695-0665
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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