Individual
DR. LISA R PALIVOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-0060
Mailing address
446 CHAPEL HILL CT, NORTHFIELD, IL 60093-2905
(847) 501-3641
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036097725
IL
Other
Enumeration date
04/04/2007
Last updated
09/03/2024
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