Provider Demographics
NPI:1871636670
Name:LAMIOT, JOHN WILLIAM (DPM)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:WILLIAM
Last Name:LAMIOT
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 N HIGHLAND AVE
Mailing Address - Street 2:SUITE 7
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60506-1451
Mailing Address - Country:US
Mailing Address - Phone:630-896-5600
Mailing Address - Fax:630-896-5655
Practice Address - Street 1:1300 N HIGHLAND AVE
Practice Address - Street 2:SUITE 7
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60506-1451
Practice Address - Country:US
Practice Address - Phone:630-896-5600
Practice Address - Fax:630-896-5655
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2009-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL016004776213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL016004776Medicaid
IL016004776Medicaid
ILU72549Medicare UPIN