Individual
LINDSEY MARIE SODERLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2112 S MICHIGAN AVE, CHICAGO, IL 60616-1704
(312) 858-5112
Mailing address
2112 S MICHIGAN AVE, CHICAGO, IL 60616-1704
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085006565
IL
363A00000X
Physician Assistant
6894
AZ
Other
Enumeration date
08/27/2017
Last updated
11/17/2021
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