Individual
LISA CAPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
324 ROOSEVELT RD, GLEN ELLYN, IL 60137-5647
(866) 825-3227
Mailing address
161 WASHINGTON ST, EIGHT TOWER SUITE 1400, CONSHOHOCKEN, PA 19428-2083
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209008654
IL
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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