Individual
LISA L WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
PMHNP - BC
Contact information
Practice address
7531 S STONY ISLAND AVE, CHICAGO, IL 60649-3954
(773) 947-7500
Mailing address
9407 S AVERS AVE, EVERGREEN PARK, IL 60805-2008
(708) 424-2627
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.031381
IL
Other
Enumeration date
03/04/2025
Last updated
03/04/2025
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