Individual
MRS. LISA FORTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
911 N ELM ST, SUITE 301, HINSDALE, IL 60521-3634
(630) 986-1420
(630) 986-9172
Mailing address
911 N ELM ST, SUITE 301, HINSDALE, IL 60521-3634
(630) 856-6865
(630) 856-6813
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
I36083565
IL
Other
Enumeration date
04/28/2006
Last updated
03/16/2021
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