Individual
LISA SUKLAM LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1325 COMMUNITY MEMORIAL DR, LA GRANGE, IL 60525-2659
(708) 245-8900
Mailing address
1325 COMMUNITY MEMORIAL DR, LA GRANGE, IL 60525-2659
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209013126
IL
Other
Enumeration date
10/20/2009
Last updated
03/22/2021
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