Individual
ABBI LANTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1725 W HARRISON ST STE 810, CHICAGO, IL 60612-3863
(312) 942-5500
Mailing address
1725 W HARRISON ST STE 810, CHICAGO, IL 60612-3863
(312) 942-5500
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209023226
IL
Other
Enumeration date
07/29/2021
Last updated
08/10/2021
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