Individual provider · NPI-1

Lindsay June Drake, NP

Pediatrics, Developmental - Behavioral Pediatrics · Park Ridge, IL

NPI number1336653716

StatusActive

Last updated in NPPESAug 2, 2023

Details

NPI: 1336653716
Entity type: Individual (NPI-1)
Name: Lindsay June Drake
Credential: NP
Sex: Female
Sole proprietor: No
Enumeration date: Nov 21, 2017
Certification date: Aug 2, 2023
Last updated: Aug 2, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2080P0006X	Pediatrics, Developmental - Behavioral Pediatrics	209016768	IL	Yes
363LP0200X	Nurse Practitioner, Pediatrics	209016768	IL
363LP2300X	Nurse Practitioner, Primary Care	4704386262	MI

Other names

Lindsay June Wargelin (Former Name)

Practice location

1675 Dempster St
Park Ridge, IL 60068

Phone 847-318-9330

Mailing address

1675 Dempster St
Park Ridge, IL 60068-1110

Phone 847-318-9330

Other practice locations

2701 W 68th St
Chicago, IL 60629-1813

Phone 773-434-4040

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