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1245989367
JORDAN NOELLE LAVRENCIK
PARK RIDGE, IL
NPI
1245989367
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209024300)
Enumeration Date
2022-03-23
Last Update Date
2022-10-21
Business Address
JORDAN NOELLE LAVRENCIK APRN
1875 DEMPSTER ST
PARK RIDGE, IL 60068-1186
Phone number: 847-723-0900
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Mailing Address
JORDAN NOELLE LAVRENCIK APRN
29373 NETWORK PL
CHICAGO, IL 60673-1293
Phone number: 847-390-5900
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