Individual
MISS LONA SUZANNE ERNST RIZKALLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, PA-C
Contact information
Practice address
2151 WAUKEGAN RD STE 100, BANNOCKBURN, IL 60015-1885
(847) 444-5300
(847) 267-1429
Mailing address
2151 WAUKEGAN RD STE 100, BANNOCKBURN, IL 60015-1885
(847) 444-5300
(847) 267-1429
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
085-002272
IL
Other
Enumeration date
06/05/2007
Last updated
09/07/2022
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