Individual
MRS. LORI MARLENE OVITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1211 S PRAIRIE AVE APT 2301, CHICAGO, IL 60605-3654
(312) 420-5610
Mailing address
1211 S PRAIRIE AVE APT 2301, CHICAGO, IL 60605-3654
(312) 420-5610
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
247200000X
IL
Other
Enumeration date
05/06/2013
Last updated
05/06/2013
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