Individual
DR. EILEEN PATRICE LAURENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
28 CHICK ST, METROPOLIS, IL 62960-2467
(618) 524-2176
(618) 524-4131
Mailing address
26633 NORTH MIDDLETON PARKWAY, MUNDELEIN, IL 60060-9124
(847) 256-4123
(224) 778-5134
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
036054682
IL
Other
Enumeration date
05/12/2008
Last updated
07/20/2020
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