Individual
LISA CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1506 E ROOSEVELT RD, WHEATON, IL 60187-6806
(630) 221-1400
Mailing address
1506 E ROOSEVELT RD, WHEATON, IL 60187-6806
(630) 221-1400
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
041302104
IL
Other
Enumeration date
02/27/2021
Last updated
02/27/2021
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