Individual
LISA MUSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20201 SOUTH CRAWFORD AVENUE, ATTN: POSTDOCTORAL EDUCATION, OLYMPIA FIELDS, IL 60461
(708) 747-4000
Mailing address
20201 CRAWFORD AVE, OLYMPIA FIELDS, IL 60461-1010
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02004745A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/08/2012
Last updated
05/10/2016
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