Laser MD SC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036089962 Issued in IL

Legal business name

LASER MD SC

Practice address

1449 W Fletcher St
Ste 3
Chicago, IL 60657-2112

Phone

(773) 531-9435

NPI assigned

Sep 8, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jose M Rodriguez, MD

Title

Provider

Phone

(773) 531-9435

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283904000000",
    "number": "1427365741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1449 W FLETCHER ST",
            "address_2": "STE 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606572112",
            "telephone_number": "773-531-9435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1449 W FLETCHER ST",
            "address_2": "STE 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606572112",
            "telephone_number": "773-531-9435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASER MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-08",
        "last_updated": "2010-09-08",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "773-531-9435",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036089962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noel E. Lasala, M.D.
• Oksana Lasalvia
• Brianna Lasaponara
• Lana Nicole Laschober, APRN
• Abbey Lasek
• Albert Wolfe Laser, LCPC
• Eleanor Laser
• Stephanie Laser, M.M.S,, PA-C
• Dillon Kenneth Laserna
• James P. Lash

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.