Lynette Nicole Ensalaco M.A.

NPI 1700212131 - Psychologist - 103T00000X

NPI Details
NPI 1700212131
Gender Female
Enumeration Date 09/17/2013
Last Updated 09/17/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
600 W 22ND ST
SUITE 250
OAK BROOK IL, 60523-1947, US
Phone (630) 230-6505
Fax (630) 230-3362
Business Location
625 ORANGE LN
HOFFMAN ESTATES IL, 60169-3118, US
Phone (224) 622-2927
Fax
Toxanomy
Taxonomy Code 103T00000X
License State
License Number
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According to our database, Lynette Nicole Ensalaco M.A. NPI is 1700212131, taxonomy code is 103T00000X Lynette Nicole Ensalaco M.A. physically located at 600 W 22nd St, Oak Brook IL, 60523-1947. NPI Number Lynette Nicole Ensalaco M.A. has the Individual type.

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1700212131 NPI number is provided on an as is basis without warranty of any kind. 1700212131 is maintained by the National Plan & Provider Enumeration System. The contents of Lynette Nicole Ensalaco M.A. are for informational purposes only.