Organization · Type 2 NPI
Lilac Health PLLC
Psychiatric/Mental Health Nurse Practitioner · Plainfield, IL
NPI number
1043050420
Active
Practice location
1913 Crestview Dr
Plainfield, IL 60586
Fax (877) 483-9684
Mailing address
992 Brook Forest Ave # 1039
Shorewood, IL 60404-8807
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1043050420
Lilac Health PLLC's National Provider Identifier is 1043050420, issued on May 31, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Plainfield, IL. The record was last updated on May 31, 2024.