Individual
DR. LISA JEAN HORN-STINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
11238 S. WESTERN AVE, CHICAGO, IL 60643
(773) 233-0990
(773) 233-0992
Mailing address
11238 S. WESTERN AVE, CHICAGO, IL 60643
(773) 233-0990
(773) 233-0992
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016003946
IL
213E00000X
Podiatrist
07000835A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016003946
—
IL
Enumeration date
07/11/2006
Last updated
05/01/2015
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