Individual
MRS. MARIE CELESTE LIZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 S BERKLEY AVE, ELMHURST, IL 60126-3228
(630) 530-0102
Mailing address
200 S BERKLEY AVE, ELMHURST, IL 60126-3228
(630) 530-0102
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
L222054377868
IL
Other
Enumeration date
12/12/2013
Last updated
12/12/2013
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