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General NPI Number Information
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NPI Number | 1699716589
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Entity Type | Individual
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Provider Name | MONA LALA MD
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Gender | Female
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 742 N ADA ST
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City | CHICAGO
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State | IL
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Zip | 60642-8594
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Country | US
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Telephone | 773-270-8223
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Fax |
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Provider Business Mailing Address
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Address Line | 1921 N HONORE ST
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City | CHICAGO
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State | IL
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Zip | 60622-1044
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Country | US
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Telephone | 773-458-5586
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 036-114453
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 036-114453
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number | 036114453
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License Number State | IL
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