Provider Demographics
NPI:1922158559
Name:LAPTOOK, EVELYN ELLEN (DC)
Entity Type:Individual
Prefix:DR
First Name:EVELYN
Middle Name:ELLEN
Last Name:LAPTOOK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 KUFRIN WAY
Mailing Address - Street 2:
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-3429
Mailing Address - Country:US
Mailing Address - Phone:630-673-1778
Mailing Address - Fax:630-705-1778
Practice Address - Street 1:1001 KUFRIN WAY
Practice Address - Street 2:
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-3429
Practice Address - Country:US
Practice Address - Phone:630-673-1778
Practice Address - Fax:630-705-1778
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038--10128111NR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0200XChiropractic ProvidersChiropractorRadiology