Individual
ANTHONY DAVID LISUZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
825 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048-3218
(847) 634-1766
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-005363
IL
363A00000X
Physician Assistant
5601010096
MI
Other
Enumeration date
04/30/2014
Last updated
05/05/2026
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