Provider Demographics
NPI:1083793616
Name:LEMKE, SALLY HELENE (DNP, WHNP-BC)
Entity Type:Individual
Prefix:DR
First Name:SALLY
Middle Name:HELENE
Last Name:LEMKE
Suffix:
Gender:F
Credentials:DNP, WHNP-BC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:806 MAPLETON AVE
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60302-1402
Mailing Address - Country:US
Mailing Address - Phone:312-563-6830
Mailing Address - Fax:312-942-2000
Practice Address - Street 1:600 S. PAULINA AAC 1080
Practice Address - Street 2:RUSH UNIVERSITY MEDICAL CENTER
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612
Practice Address - Country:US
Practice Address - Phone:312-563-6830
Practice Address - Fax:312-942-2000
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL029-003525363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILQ36151Medicare UPIN