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1811267594
LORI ANN MENDOZA MORENO
NORTHBROOK, IL
NPI
1811267594
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IL 209009279)
Enumeration Date
2012-01-11
Last Update Date
2014-12-05
Business Address
Mrs. LORI ANN MENDOZA MORENO APN
60 REVERE DR SUITE 100
NORTHBROOK, IL 60062-1563
Phone number: 224-306-1879
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Mailing Address
Mrs. LORI ANN MENDOZA MORENO APN
60 REVERE DR SUITE 100
NORTHBROOK, IL 60062-1563
Phone number: 224-306-1879
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