Individual
LISA DAVIDOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
707 LAKE COOK RD STE 122, DEERFIELD, IL 60015-4909
(224) 296-1520
(224) 252-6330
Mailing address
707 LAKE COOK RD STE 122, DEERFIELD, IL 60015-4909
(224) 296-1520
(224) 252-6330
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036.138311
IL
208000000X
Pediatrics Physician
036.138311
IL
Other
Enumeration date
04/06/2011
Last updated
12/21/2022
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