Individual
LAUREN MARIE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1645 W JACKSON BLVD, CHICAGO, IL 60612-3276
(312) 942-2232
Mailing address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
125-062962
IL
Other
Enumeration date
05/22/2013
Last updated
05/22/2013
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