Individual
LAUREN LICKERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
311 W SUPERIOR ST STE 402, CHICAGO, IL 60654-3537
(312) 584-2144
Mailing address
1438 W BELMONT AVE STE 1, CHICAGO, IL 60657-2166
(312) 584-2144
(312) 971-8554
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.029399
IL
Other
Enumeration date
03/11/2024
Last updated
11/20/2025
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