Individual
ERNST LISEK IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 N WINFIELD ROAD, STE 405, DEPT OF UROLOGY, WINFIELD, IL 60190
(630) 790-1221
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-0018
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036097188
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036097188
—
IL
Enumeration date
03/01/2006
Last updated
03/15/2011
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