LYNN MARIE MALANFANT

NORTH CHICAGO, IL
NPI1053334425
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: IL  036-082738)
Enumeration Date2006-07-25
Last Update Date2007-07-08
Business Address
-- LYNN MARIE MALANFANT
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064-3048
Phone number: 815-759-2306
Mailing Address
-- LYNN MARIE MALANFANT
620 SOUTH RT 31
MCHENRY, IL 60050-8107
Phone number: 815-759-2306