Individual
LISA CHRISTINE PEREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1522 BEACH AVE, LA GRANGE PARK, IL 60526-1247
(630) 464-6111
Mailing address
2621 OXFORD CT, DARIEN, IL 60561-1794
(630) 464-6111
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.24881
IL
Other
Enumeration date
06/28/2019
Last updated
06/28/2019
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