Garside, Lauren Michelle

Garside, Lauren Michelle is an sole proprietor health care provider with primary practice located at 199 W Rand Rd Ste 203 , Mount Prospect IL 60056-1157. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Garside, Lauren Michelle can be contacted via phone (847) 618-5450.

Contact Information

Primary practice address
199 W Rand Rd Ste 203 Mount Prospect IL 60056-1157
Phone: (847) 618-5450
Fax: (847) 618-5459
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085.007506 Illinois

Profile Details

NPI number 1396364576
LBN Legal business name Garside, Lauren Michelle
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 8th, 2020
Last updated Mar 6th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396364576 NPPES
Illinois Other 085007506 STATE LICENSE

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