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Individual

DR. LIZA A ESCUADRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2233 W DIVISION ST, CHICAGO, IL 60622-8151
(312) 770-2315
(312) 770-3371
Mailing address
1000 N WESTMORELAND RD # LL0519, LAKE FOREST, IL 60045-1658
(847) 535-6218
(847) 535-6237

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036121110
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
99047952A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036121110
IL
Enumeration date
07/29/2008
Last updated
01/24/2024
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