Individual
MRS. KERRY COLLINS LAZEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2515 N CLARK ST, CHICAGO, IL 60614-2730
(800) 543-7365
Mailing address
220 DES PLAINES AVE, UNIT E, FOREST PARK, IL 60130-1227
(708) 771-2747
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209005522
IL
Other
Enumeration date
07/06/2006
Last updated
04/25/2022
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