Individual
LISA R MICHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4400 W 95TH ST STE 6409, OAK LAWN, IL 60453-2654
(877) 684-4327
(708) 520-1875
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209-007489
IL
363LA2200X
Adult Health Nurse Practitioner
209.007489
IL
Other
Enumeration date
03/05/2009
Last updated
06/07/2024
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