Individual
LAUREN KNAZZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2750 W NORTH AVE, CHICAGO, IL 60647-5247
(312) 666-3494
Mailing address
2750 W NORTH AVE, CHICAGO, IL 60647-5247
(312) 666-3494
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125.071912
IL
Other
Enumeration date
03/21/2018
Last updated
12/14/2018
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