NPI 1053334425

Lynn Marie Malanfant

Practitioner Psychiatry Physician North Chicago, IL

Practice location

Address: 3001 Green Bay Rd, North Chicago, IL 60064-3048
Phone: (815) 759-2306
Fax: (224) 610-3885
Mailing address: 620 South Rt 31, McHenry, IL 60050-8107

Registered specialties

Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 036-082738 (IL)

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Registry record

NPI: 1053334425
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Jul 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.