Individual
LAUREN RELYEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1113 ROSEWOOD ST, SHOREWOOD, IL 60404-9414
(815) 474-5835
Mailing address
1113 ROSEWOOD ST, SHOREWOOD, IL 60404-9414
(815) 474-5835
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2284176
IL
Other
Enumeration date
05/12/2014
Last updated
05/12/2014
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