Individual
LYNN MARIE MALANFANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
(815) 759-2306
(224) 610-3885
Mailing address
620 SOUTH RT 31, MCHENRY, IL 60050-8107
(815) 759-2306
(224) 610-3885
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036-082738
IL
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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