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Individual

LISA SHANNON GIRDAUKAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9679 W 55TH ST, COUNTRYSIDE, IL 60525
(708) 352-3580
(708) 352-2715
Mailing address
1530 N PAULINA, UNIT H, CHICAGO, IL 60622
(773) 655-5794

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
02/15/2007
Last updated
07/08/2007
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Product
  • Claims
  • Eligibility checks
  • EDI platform