Individual
LAUREN DIDRIKSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
7435 W TALCOTT AVE, CHICAGO, IL 60631-3707
(773) 990-5874
Mailing address
1N242 FARWELL ST, CAROL STREAM, IL 60188-2355
(630) 935-4030
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209026072
IL
Other
Enumeration date
06/22/2021
Last updated
07/20/2023
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