Individual
LAUREN DETJEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
534 GREEN BAY RD, KENILWORTH, IL 60043-1801
(847) 256-5505
Mailing address
3241 W PALMER ST APT 2E, CHICAGO, IL 60647-0899
(614) 915-7763
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.020634
IL
Other
Enumeration date
01/05/2020
Last updated
01/05/2020
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