Individual
LISA OREILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3258 W 111TH ST, CHICAGO, IL 60655
(773) 629-8217
Mailing address
3258 W 111TH ST, CHICAGO, IL 60655-2729
(773) 629-8217
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209018706
IL
363L00000X
Nurse Practitioner
Primary
277005262
IL
Other
Enumeration date
04/10/2019
Last updated
03/09/2026
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