Active NPI
Lavos LLC
- Podiatrist
- Chicago, IL
National Provider Identifier
1942162003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- LAVOS LLC
- Practice address
- 1718 N Clybourn Ave
Chicago, IL 60614-7256 - Phone
- (312) 820-6464
- Fax
- (833) 428-4605
- NPI assigned
- Nov 26, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Fadi Isa, DPM
- Title
- Owner
- Phone
- (312) 820-6464
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary |
Addresses
Primary practice location
1718 N Clybourn Ave
Chicago, IL 60614-7256
Mailing address
1718 N Clybourn Ave
Chicago, IL 60614-7256
Phone (312) 820-6464
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Chicago, IL
- NPI 1720725716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764115200000",
"number": "1942162003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1718 N CLYBOURN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606147256",
"telephone_number": "312-820-6464",
"fax_number": "833-428-4605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1718 N CLYBOURN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606147256",
"telephone_number": "312-820-6464",
"fax_number": "833-428-4605"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAVOS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-26",
"last_updated": "2025-11-26",
"certification_date": "2025-11-26",
"status": "A",
"authorized_official_last_name": "ISA",
"authorized_official_first_name": "FADI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "312-820-6464",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.