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NPI Code Detail

MEDICARE: LAUREN ELENA CHEMELLO

MEDICARE:   LAUREN ELENA CHEMELLO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1-20-46709IL

General Provider Information

NPI Number : 1003645177
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN ELENA CHEMELLO
Provider Business Mailing Address
First Line : 150 S WHITEHALL CT
Second Line :
City : PALATINE
State : IL
Zip : 60067-5836
Country : US
Telephone Number : 224-238-9578
Fax Number :
Provider Business Practice Location Address
First Line : 5020 N OAK PARK AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60656-3740
Country : US
Telephone Number : 614-499-6402
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2024
Last Update Date : 07/29/2024

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Directions to “ LAUREN ELENA CHEMELLO ” Practice Location

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