Individual
MS. LAUREN ELIZABETH FISHBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2333 W IRVING PARK RD, CHICAGO, IL 60618-3838
(773) 506-7340
Mailing address
2333 W IRVING PARK RD, CHICAGO, IL 60618-3838
(773) 506-7340
(773) 506-7340
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209016762
IL
Other
Enumeration date
01/16/2018
Last updated
02/07/2018
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