Individual
LAUREN BUETIKOFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
720 ROOSEVELT RD, GLEN ELLYN, IL 60137-5806
(630) 984-2200
Mailing address
845 N MICHIGAN AVE, SUITE 973 W, CHICAGO, IL 60611-2252
(312) 878-8800
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/04/2013
Last updated
12/10/2014
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