Individual
LISA BABIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3880 SALEM LAKE DR STE F, LONG GROVE, IL 60047-5292
(847) 719-2220
(847) 719-2265
Mailing address
3880 SALEM LAKE DR STE F, LONG GROVE, IL 60047-5292
(847) 719-2220
(847) 719-2265
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301109759
MI
207QA0505X
Adult Medicine Physician
Primary
036152968
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036152968
—
IL
Enumeration date
05/25/2016
Last updated
03/07/2023
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