Provider Demographics
NPI:1972673309
Name:LEMICK, DARYL KEITH (RN,CNOR,CRNFA)
Entity Type:Individual
Prefix:
First Name:DARYL
Middle Name:KEITH
Last Name:LEMICK
Suffix:
Gender:M
Credentials:RN,CNOR,CRNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:684 S BARRINGTON RD
Mailing Address - Street 2:# 155
Mailing Address - City:STREAMWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60107-1841
Mailing Address - Country:US
Mailing Address - Phone:630-883-0815
Mailing Address - Fax:630-213-8770
Practice Address - Street 1:684 S BARRINGTON RD
Practice Address - Street 2:# 155
Practice Address - City:STREAMWOOD
Practice Address - State:IL
Practice Address - Zip Code:60107-1841
Practice Address - Country:US
Practice Address - Phone:630-883-0815
Practice Address - Fax:630-213-8770
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2011-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041-254043163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant