Individual
LISA D PARISI-REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTIONER
Contact information
Practice address
7435 W TALCOTT AVE, CHICAGO, IL 60631-3707
(773) 990-8498
Mailing address
1330 S CHESTER AVE, PARK RIDGE, IL 60068-5106
(312) 505-1935
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
041.306967
IL
363LF0000X
Family Nurse Practitioner
209.025123
IL
Other
Enumeration date
01/12/2024
Last updated
01/12/2024
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