Individual
DR. LISA ANN PITELKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1750 W HARRISON ST, 570 JELKE, DEPARTMENT OF PATHOLOGY, CHICAGO, IL 60612-3825
(312) 942-5260
Mailing address
74 WESTMORE MEYERS RD, LOMBARD, IL 60148-3037
(815) 483-6422
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
125.053071
IL
Other
Enumeration date
08/08/2008
Last updated
08/08/2008
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