OrganizationActive
Rolando a Lara MD Sc
NPI 1679895569 · Internal Medicine Physician · Chicago, IL
Provider details
- NPI number
- 1679895569
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Rolando Lara, President(773) 927-9774
- License
- 036046977 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1708 W 47th St
Chicago, IL 60609-3822
Phone: (773) 927-9774
Approximate (ZIP-level) locationGet directions
Mailing address
1708 W 47th St
Chicago, IL 60609-3822
Registry dates
- Enumerated
- 2010-02-19
- Last updated
- 2010-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.