Individual
DANIELLE MARIE LAVIGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1775 DEMPSTER ST, PARK RIDGE, IL 60068-1143
(847) 723-7200
Mailing address
8826 S WINCHESTER AVE, CHICAGO, IL 60620-5447
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IL
Other
Enumeration date
03/28/2023
Last updated
04/04/2023
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