Provider Demographics
NPI:1609832872
Name:STREICHER, LAUREN F (MD)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:F
Last Name:STREICHER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:259 EAST ERIE STREET
Mailing Address - Street 2:SUITE 2450
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611
Mailing Address - Country:US
Mailing Address - Phone:312-472-0502
Mailing Address - Fax:312-472-6583
Practice Address - Street 1:259 EAST ERIE STREET
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611
Practice Address - Country:US
Practice Address - Phone:312-472-0502
Practice Address - Fax:312-472-6583
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2017-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036069319207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILC42782Medicare UPIN
ILL30727Medicare PIN