Individual
MADELINE LEMMENES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
475 W 55TH ST STE 208AB, COUNTRYSIDE, IL 60525-3564
(708) 579-0488
Mailing address
7117 SEMINOLE DR, DARIEN, IL 60561-4078
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
209027672
IL
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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