Healthcare Provider Details

I. General information

NPI: 1245689603
Provider Name (Legal Business Name): MORTA LAPKUS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2016
Last Update Date: 01/15/2025
Certification Date: 01/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 SPALDING DR STE 205
NAPERVILLE IL
60540-6527
US

IV. Provider business mailing address

2650 RIDGE AVE STE 1223
EVANSTON IL
60201-1700
US

V. Phone/Fax

Practice location:
  • Phone: 630-646-6020
  • Fax: 630-527-3400
Mailing address:
  • Phone: 847-570-2040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number36159574
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: