Individual
CHERYL LORENZIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
801 S WASHINGTON ST, NAPERVILLE, IL 60540-7499
(630) 527-7743
Mailing address
801 S WASHINGTON ST, NAPERVILLE, IL 60540-7430
(630) 527-7743
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209009149
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IL5966
MEDICARE PTAN (GROUP)
IL
01
—
IL5966009
MEDICARE PTAN (INDIVIDUAL)
IL
01
—
IL7268003
MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
12/29/2011
Last updated
01/18/2021
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