Individual
MRS. MARY ELIZABETH LENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2233 W DIVISION ST, DEPARTMENT OF OB/GYN, CHICAGO, IL 60622-8151
(877) 737-4636
Mailing address
2233 W DIVISION ST, DEPARTMENT OF OB/GYN, CHICAGO, IL 60622-8151
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209014898
IL
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Enumeration date
06/17/2016
Last updated
04/29/2019
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