Organization
LAKE FOREST REGENESIS MEDICAL CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALLANA KATHLEEN BUSH FNP-C (FNP-C)
(224) 436-8006
Entity
Organization
Contact information
Practice address
1025 W EVERETT RD STE 2, LAKE FOREST, IL 60045-2668
(224) 436-8006
(949) 703-8371
Mailing address
1025 W EVERETT RD STE 2, LAKE FOREST, IL 60045-2668
(224) 436-8006
(949) 703-8371
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/07/2025
Last updated
02/07/2025
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