Healthcare Provider Details

I. General information

NPI: 1164990636
Provider Name (Legal Business Name): LAUREN NICOLE VOSS PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAUREN NICOLE KUIPERS

II. Dates (important events)

Enumeration Date: 11/02/2018
Last Update Date: 11/19/2024
Certification Date: 11/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

688 CEDAR CROSSINGS DR
NEW LENOX IL
60451-5200
US

IV. Provider business mailing address

7600 W COLLEGE DR
PALOS HEIGHTS IL
60463-1001
US

V. Phone/Fax

Practice location:
  • Phone: 815-727-3030
  • Fax: 815-463-8268
Mailing address:
  • Phone: 708-923-2510
  • Fax: 708-923-2529

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number085006838
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: