Individual
LAUREN ELISE EICKELBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
7435 W TALCOTT AVE, CHICAGO, IL 60631-3707
(773) 990-7921
Mailing address
7435 W TALCOTT AVE, CHICAGO, IL 60631-3707
(773) 990-7921
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036166630
IL
Other
Enumeration date
03/16/2019
Last updated
11/03/2023
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