Individual
LAUREN ANN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
635 N FAIRBANKS CT, CHICAGO, IL 60611-5435
(312) 472-4260
Mailing address
905 N ORLEANS ST UNIT 1004, CHICAGO, IL 60610-3032
(920) 639-4181
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209030809
IL
Other
Enumeration date
08/12/2024
Last updated
10/24/2024
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