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Contact Information

ELLYN M LAWRENCE
16820 81ST CT APT 3S
TINLEY PARK, IL60477-2044
 Phone: 708-704-9671
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Public Health or Welfare

251K00000X 60 Public Health or Welfare Agency
Indicates primary specialty

NPI Profile & details for ELLYN M LAWRENCE · (Female)

NPI Number 1023745874
Status Active
Credentials
Entity Individual
Enumeration date 08/02/2022
Last updated 08/02/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • IL Other VUE822511480 BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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