Individual
ELIZABETH A KISLOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
207 RIVERSHIRE LN APT 206, LINCOLNSHIRE, IL 60069-3808
(847) 338-1321
Mailing address
207 RIVERSHIRE LN APT 206, LINCOLNSHIRE, IL 60069-3808
(847) 338-1321
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209024449
IL
Other
Enumeration date
12/01/2021
Last updated
01/04/2024
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