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Individual

LISA ROCHELLE CONNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
701 WEST NORTH AVE, MELROSE PARK, IL 60160-1612
(708) 681-3202
Mailing address
1121 LAKE COOK RD, STE M, DEER FIELD, IL 60015-5234
(847) 945-4550
(847) 948-8103

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041292124
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209005658
IL

Other

Enumeration date
07/06/2006
Last updated
08/24/2012
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