| Doctor Name: | LAURA MARGARET LANDGRAF |
| NPI Number: | 1679779227 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA |
| License Number: | |
| Business Practice Address: | 2151 Waukegan Rd Suite 100 Bannockburn, IL - 600151885 |
| Business Phone Number: | 8474445328 |
| Business Fax Number: | 8472670694 |
| Mailing Address: | 2151 Waukegan Rd, Suite 100 BANNOCKBURN |
| State: | IL |
| Postal Code: | 600151885 |
| Phone Number: | 8474445328 |
| Fax Number: | 8472670694 |
| NPI Enumeration Date: | 06/21/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |