Individual
LAUREN KATHERINE ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
600 S PAULINA ST, CHICAGO, IL 60612-3806
(312) 947-1300
Mailing address
655 WASHINGTON BLVD, 3RD FLOOR, OAK PARK, IL 60302-3983
(504) 400-8320
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.010008
IL
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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