Individual
LISA HEMBRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201-1718
(847) 491-1750
Mailing address
1032 S DUNTON AVE, ARLINGTON HEIGHTS, IL 60005-3153
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.358764
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209009227
IL
Other
Enumeration date
09/19/2011
Last updated
11/10/2011
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