Individual
CHRISTINA LISOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2208 W WILLOW KNOLLS DR, PEORIA, IL 61614-1467
(309) 233-0994
Mailing address
2208 W WILLOW KNOLLS DR, PEORIA, IL 61614-1467
(309) 332-0994
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209014815
IL
Other
Enumeration date
10/17/2016
Last updated
03/16/2026
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