Individual
MRS. LANA TYMOUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
850 S WABASH AVE, STE 301, CHICAGO, IL 60605-3641
(312) 583-1066
(312) 583-1897
Mailing address
850 S WABASH AVE, STE 301, CHICAGO, IL 60605-3641
(312) 583-1066
(312) 583-1897
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085001905
IL
Other
Enumeration date
06/12/2006
Last updated
02/10/2017
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