Individual provider · NPI-1

Lamenta S Conway, MD

Hospitalist · Elmhurst, IL

NPI number1629087077
StatusActive
Last updated in NPPESOct 24, 2018

Details

NPI
1629087077
Entity type
Individual (NPI-1)
Name
Lamenta S Conway
Credential
MD
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 5, 2006
Last updated
Oct 24, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208M00000X Hospitalist036105633ILYes
207R00000X Internal Medicine036105633IL
208000000X Pediatrics036105633IL

Practice location

155 E Brush Hill Rd
Elmhurst, IL 60126

Phone 331-221-8952 · Fax 331-221-3782

Mailing address

172 Schiller St
Elmhurst, IL 60126

Phone 331-221-6377 · Fax 331-221-2706

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