Individual
LORENE MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, FNP
Contact information
Practice address
4009 N BROADWAY ST, CHICAGO, IL 60613-2110
(773) 275-2586
Mailing address
1509 MAPLE AVE APT 3, EVANSTON, IL 60201-6515
(224) 475-5330
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209027394
IL
Other
Enumeration date
05/15/2023
Last updated
09/27/2024
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