Michael Lavine, MD
NPI #1619943586 in Glen Ellyn, Illinois
Provider Information
- NPI Number
- 1619943586
- Entity Type
- Individual
- Name
- Michael Lavine, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Radiology - Diagnostic Radiology
- Credential
- MD
- Enumeration Date
- Feb 28, 2006
- Last Updated
- Oct 2, 2019
Practice Location
- Address
- 430 PENNSYLVANIA AVE
- City
- Glen Ellyn
- State
- Illinois
- ZIP Code
- 60137-4464
- Phone
- (630) 469-9200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
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