Individual
MRS. MARY THERESA ELLEN LAU
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN, MS, APN
Contact information
Practice address
5TH AVENUE & ROOSEVELT RD, BLDG 200 RM 546 118S, HINES, IL 60141
(708) 202-8387
(708) 202-2180
Mailing address
1209 FRANCES PKWY, PARK RIDGE, IL 60068-5129
(847) 698-5971
(708) 202-2180
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
—
IL
Other
Enumeration date
06/14/2006
Last updated
07/08/2007
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