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Dr. JAKE LAZAROFF MD

Individual Provider (NPI-1) Active

Dermatology

Provider Information

NPI Number
1740654110
Provider Type
Individual Provider (NPI-1)
Credentials
MD
Status
Active

Contact & Location

Address
5841 S MARYLAND AVE # MC5067, CHICAGO, IL, 606371443
Phone
(773) 702-0549

Specialties & Taxonomies

Dermatology, MOHS-Micrographic Surgery License: MO #2024012056
Internal Medicine License: IL #125074787
Dermatology License: IL #125074787
Dermatology Primary License: MO #2024012056

All Addresses

MAILING

PO BOX 953593

SAINT LOUIS, MO, 631953593

(847) 570-4789

LOCATION

5841 S MARYLAND AVE # MC5067

CHICAGO, IL, 606371443

(773) 702-0549