Individual
KIM LENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
520 S MAPLE AVE, OAK PARK, IL 60304-1022
(708) 383-9300
Mailing address
203 S SANGAMON ST, APT 102, CHICAGO, IL 60607-3030
(314) 623-2316
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209011149041354844
IL
Other
Enumeration date
01/02/2014
Last updated
04/03/2017
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