Individual
LISA TUTAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5906 N MILWAUKEE AVE, CHICAGO, IL 60646-5420
(773) 774-7300
Mailing address
5906 N MILWAUKEE AVE, CHICAGO, IL 60646-5420
(773) 774-7300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/04/2012
Last updated
04/30/2021
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