KEVIN M LAGE NPI 1598177628

NPI Information

NPI: 1598177628
Provider Name: KEVIN M LAGE
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
660 N WESTMORELAND RD
LAKE FOREST, IL
ZIP 60045
Phone: (312) 695-0665
Get Directions

Kevin M Lage is a family nurse practitioner in Lake Forest, IL. Kevin M Lage NPI is 1598177628. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

660 N WESTMORELAND RD
LAKE FOREST, IL
ZIP 60045-659
Phone: (312) 695-0665

The NPI 1598177628 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/23/2014 and was last updated on 4/21/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	RN1019749	DISTRICT OF COLUMBIA	No
2	363LF0000X	Nurse Practitioner	Family	A136114	IOWA	No
3	363LF0000X	Nurse Practitioner	Family	0024171692	VIRGINIA	No
4	363LF0000X	Nurse Practitioner	Family	R217017	MARYLAND	No
5	363LF0000X	Nurse Practitioner	Family	209011664	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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