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Individual

EMILY A LOVAASEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5425 W LAKE ST, CHICAGO, IL 60644-2342
(773) 378-3347
(708) 383-9911
Mailing address
14 LAKE ST, PCC LAKE STREET FAMILY HEALTH CENTER, OAK PARK, IL 60302-2606
(708) 383-0113
(708) 383-9911

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036127718
IL
207Q00000X
Family Medicine Physician
125054997
IL

Other

Enumeration date
06/24/2008
Last updated
12/26/2019
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