Individual
LISHA MARIE TERREL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1900 SILVER CROSS BLVD, NEW LENOX, IL 60451-9509
(815) 300-1100
Mailing address
1900 SILVER CROSS BLVD, NEW LENOX, IL 60451-9509
(815) 791-2076
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.033060
IL
Other
Enumeration date
08/27/2025
Last updated
08/27/2025
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