Individual
LAUREN STREBLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1127 N OAKLEY BLVD, 3RD FLOOR, CHICAGO, IL 60622-3507
(312) 770-3320
Mailing address
1127 N OAKLEY BLVD, 3RD FLOOR, CHICAGO, IL 60622-3507
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
362235165
—
IL
Enumeration date
08/29/2016
Last updated
08/29/2016
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