Individual
LACEY DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
251 E HURON ST STE 7-132G, CHICAGO, IL 60611-2908
(312) 503-8144
(312) 503-8249
Mailing address
251 E HURON ST STE 7-132G, CHICAGO, IL 60611-2908
(312) 503-8144
(312) 503-8249
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036169371
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
125075535
IL
Other
Enumeration date
03/23/2020
Last updated
04/29/2025
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