Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EDEN LOUISE PAPPO LAKE, M.D.
Active Sole ProprietorDermatology · LA GRANGE PARK, IL
Registration Details
- NPI Number
- 1578904892
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 15, 2013 (12.801491089572 yrs)
- Last Updated
- Mar 7, 2023
- Licenses
-
125062828 (IL)036.143392 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
321 N LA GRANGE RDLA GRANGE PARK, IL, 605265622Browse IL providers · Browse ZIP 60526
- Phone
- 7084851271
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Dermatology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.