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Individual

LISA A TAITSMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(888) 824-0200
Mailing address
150 HARVESTER DR STE 300, BURR RIDGE, IL 60527-5965

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036178296
IL
207X00000X
Orthopaedic Surgery Physician
MD00040103
WA
207XX0801X
Orthopaedic Trauma Physician
MD00040103
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0232023
L&I
WA
05
1760524722
WA
01
200042544
RAIL ROAD MEDICARE
WA
Enumeration date
02/13/2007
Last updated
03/23/2026
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