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Individual

MANDY LUSUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
1200 HARGER RD STE 200, OAK BROOK, IL 60523-1816
(630) 607-0387
Mailing address
1200 HARGER RD STE 200, OAK BROOK, IL 60523-1816
(630) 607-0387

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209026954
IL

Other

Enumeration date
02/21/2023
Last updated
10/01/2024
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