Individual
DR. LISA MEMMEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2800 W 87TH ST, SUITE 100, CHICAGO, IL 60652-3831
(773) 863-7537
Mailing address
2800 W 95TH ST, EVERGREEN PARK, IL 60805-2701
(708) 229-5385
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
036116173
IL
Other
Enumeration date
07/11/2007
Last updated
07/11/2007
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