Individual
LAUREN MICHELLE GARSIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
199 W RAND RD STE 203, MOUNT PROSPECT, IL 60056-1157
(847) 618-5450
(847) 618-5459
Mailing address
199 W RAND RD STE 203, MOUNT PROSPECT, IL 60056-1157
(847) 618-5450
(847) 618-9695
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.007506
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085007506
STATE LICENSE
IL
Enumeration date
04/08/2020
Last updated
03/06/2024
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