Individual
MRS. LISA CISEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17320 ELK DR, ORLAND PARK, IL 60467-7810
(708) 860-2404
Mailing address
17320 ELK DR, ORLAND PARK, IL 60467-7810
(708) 860-2404
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/29/2009
Last updated
04/29/2009
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