Individual
LORENE S ECKBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4100 HEALTHWAY DR, AURORA, IL 60504-4163
(630) 851-3105
Mailing address
2357 SEQUOIA DR, AURORA, IL 60506-6222
(630) 859-6800
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036-075286
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036075286
—
IL
01
—
P00926
INDIVIDUAL MEDICARE #
—
Enumeration date
07/09/2006
Last updated
02/17/2017
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