Individual
LIESEL RATLIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
948 N DAMEN AVE, CHICAGO, IL 60622-4910
(773) 276-2655
Mailing address
2000 W LUNT AVE, CHICAGO, IL 60645-3520
(309) 370-4845
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.019948
IL
Other
Enumeration date
03/19/2020
Last updated
03/19/2020
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