Individual
LINDSAY JUNE DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1675 DEMPSTER ST, PARK RIDGE, IL 60068
(847) 318-9330
Mailing address
1675 DEMPSTER ST, PARK RIDGE, IL 60068-1110
(847) 318-9330
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
209016768
IL
363LP0200X
Pediatric Nurse Practitioner
209016768
IL
363LP2300X
Primary Care Nurse Practitioner
4704386262
MI
Other
Enumeration date
11/21/2017
Last updated
08/02/2023
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