Individual
LYNDSEY RAE CHAUSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 N MAIN ST, ROANOKE, IL 61561-7585
(309) 923-2661
Mailing address
306 HIGHPOINT RD, NORMAL, IL 61761-2847
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209.033158
IL
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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