Individual
JAKLYN B LYNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1000 N WESTMORELAND RD, LAKE FOREST, IL 60045-1658
(847) 535-7665
(847) 535-8590
Mailing address
1000 N WESTMORELAND RD, LAKE FOREST, IL 60045-1658
(847) 535-7665
(847) 535-8590
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.003785
IL
363AM0700X
Medical Physician Assistant
385.002604
IL
363AS0400X
Surgical Physician Assistant
385.002604
IL
Other
Enumeration date
09/07/2010
Last updated
06/08/2020
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