Individual
LISA MCMILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BNS, RN
Contact information
Practice address
700 N LARRABEE ST, CHICAGO, IL 60654-7014
(312) 399-0937
Mailing address
700 N LARRABEE ST APT 210, CHICAGO, IL 60654-7015
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041314505
IL
171400000X
Health & Wellness Coach
Primary
041314505
IL
Other
Enumeration date
01/02/2026
Last updated
01/02/2026
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