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NPI 1023745874

IndividualActive

Ellyn Lawrence

NPI 1023745874 · Public Health or Welfare Agency · Tinley Park, IL

Provider details

NPI number: 1023745874
Entity type: Individual
Primary specialty: Public Health or Welfare AgencyAgencies
Sex: Female
Sole proprietor: Yes

Practice location

16820 81st Ct Apt 3s

Tinley Park, IL 60477-2044

Phone: (708) 704-9671

More IL providers

Mailing address

16820 81st Ct Apt 3s

Tinley Park, IL 60477-2044

Registry dates

Enumerated: 2022-08-02
Last updated: 2022-08-02

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Ellyn Lawrence — NPI 1023745874, Tinley Park, IL | NPI Central