Provider Demographics
NPI:1134408115
Name:BRIGGS, LAUREN (AUD)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:
Last Name:BRIGGS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 E CHICAGO AVE
Mailing Address - Street 2:BOX 148
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-2991
Mailing Address - Country:US
Mailing Address - Phone:312-227-3079
Mailing Address - Fax:312-227-9478
Practice Address - Street 1:225 E CHICAGO AVE
Practice Address - Street 2:BOX 148
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2991
Practice Address - Country:US
Practice Address - Phone:847-530-9419
Practice Address - Fax:312-227-9654
Is Sole Proprietor?:No
Enumeration Date:2011-08-09
Last Update Date:2014-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA956231H00000X
IL147001477231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist