Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Julieta Lasala, MD

Individual provider Family Medicine Physician · NPI 1043694045

Dr. Julieta Lasala, MD is a Family Practice in Hazel Crest, Illinois. Qualified in 2015, 11 years ago. Practices with Advocate Health and Hospitals Corporation, a 3,079-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois and Louisiana.

Years since qualifying
11
Licensed in
IL, LA
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

17800 Kedzie Ave
Hazel Crest, IL 60429-2029
Phone: (312) 609-0300
Fax: (773) 213-0378
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 711 W North Ave, Chicago, IL 60610-1174 — (312) 337-1982
  • 100 W 162nd St, South Holland, IL 60473-2003 — (312) 609-0300

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036-144164 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 125067701 (LA)

Record details

NPI number1043694045
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 20, 2015
Last updated in NPPESFebruary 11, 2026
Certification dateFebruary 11, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Advocate Health And Hospitals Corporation — 3079 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Hazel Crest