Individual
ADA LUMPKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1969 W OGDEN AVE, CHICAGO, IL 60612-3765
(000) 000-0000
Mailing address
1969 W OGDEN AVE, CHICAGO, IL 60612-3765
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
IL
Other
Enumeration date
03/01/2014
Last updated
04/30/2021
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