Individual
LISA KASPAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11519 ZERMATT DR, FRANKFORT, IL 60423-8253
(708) 846-0864
Mailing address
PO BOX 130, MOKENA, IL 60448-0130
(708) 846-0864
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/11/2016
Last updated
08/11/2016
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