Individual provider · Type 1 NPI

Julieta Lasala, MD

Family Medicine Physician · Hazel Crest, IL

NPI number 1043694045 Active

Practice location

17800 Kedzie Ave
Hazel Crest, IL 60429-2029

Call (312) 609-0300 Map

Fax (773) 213-0378

Mailing address

29373 Network Pl
Chicago, IL 60673-1293

Other practice locations

  • 711 W North Ave, Chicago, IL 60610-1174 · (312) 337-1982
  • 100 W 162nd St, South Holland, IL 60473-2003 · (312) 609-0300

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X125067701 (LA)
Family Medicine Physician Primary 207Q00000X036-144164 (IL)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

125 other providers at this address

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About NPI 1043694045

Julieta Lasala, MD's National Provider Identifier is 1043694045, issued on Jul 20, 2015. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Hazel Crest, IL. The record was last updated on Feb 11, 2026.