Individual
LISE SARA WEISBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4600 N RAVENSWOOD AVE, CHICAGO, IL 60640-4510
(773) 561-7500
(773) 561-7612
Mailing address
4600 N RAVENSWOOD AVE, CHICAGO, IL 60640-4510
(773) 561-7500
(773) 561-7612
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Enumeration date
07/26/2006
Last updated
07/09/2007
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