Provider Demographics
NPI:1336304583
Name:LADLAD, EDUARDO JULIAN (MD)
Entity Type:Individual
Prefix:DR
First Name:EDUARDO
Middle Name:JULIAN
Last Name:LADLAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 BEECH DR
Mailing Address - Street 2:
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60025-3249
Mailing Address - Country:US
Mailing Address - Phone:847-998-6173
Mailing Address - Fax:847-998-1384
Practice Address - Street 1:401 BEECH DR
Practice Address - Street 2:
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60025-3249
Practice Address - Country:US
Practice Address - Phone:847-998-6173
Practice Address - Fax:847-998-1384
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-26
Last Update Date:2008-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036046973207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology