Individual
LISA K UPHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1250 THOMAS DR, WEST CHICAGO, IL 60185-5059
(630) 940-4608
Mailing address
1250 THOMAS DR, WEST CHICAGO, IL 60185-5059
(630) 940-4608
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
02/16/2011
Last updated
02/16/2011
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