Provider Demographics
NPI:1619446564
Name:LLOYD, FAITH (APN)
Entity Type:Individual
Prefix:
First Name:FAITH
Middle Name:
Last Name:LLOYD
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:925 W HURON ST APT 215
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60642-7902
Mailing Address - Country:US
Mailing Address - Phone:815-520-2113
Mailing Address - Fax:
Practice Address - Street 1:121 S WILKE RD STE 401
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-1527
Practice Address - Country:US
Practice Address - Phone:847-577-7705
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-21
Last Update Date:2018-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209017637363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily