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Individual

LISA D THOMAS-CRAFT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN-FNP-BC

Contact information

Practice address
6345 W 79TH ST, BURBANK, IL 60459-1133
(844) 725-5238
(708) 346-8285
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
(847) 390-4757

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
209017697
IL
363L00000X
Nurse Practitioner
Primary
209.017697
IL

Other

Enumeration date
03/04/2019
Last updated
09/15/2022
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