Individual
LAURA ASHLEY EULITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1890 SILVER CROSS BLVD STE 240, NEW LENOX, IL 60451-9528
(815) 740-1900
(815) 485-4469
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041430943
IL
363L00000X
Nurse Practitioner
Primary
209023872
IL
Other
Enumeration date
05/18/2021
Last updated
06/30/2023
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