Individual
LISANSHA ZAHIRSHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
430 WARRENVILLE RD STE 110, LISLE, IL 60532-1348
(630) 946-2020
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125065434
IL
2085R0202X
Diagnostic Radiology Physician
Primary
036.144016
IL
2085R0202X
Diagnostic Radiology Physician
125-065434
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036144016
—
IL
Enumeration date
03/30/2014
Last updated
08/29/2023
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