Individual
LISA ANN FISHBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
7626 W HICKORY CREEK DR, FRANKFORT, IL 60423-9095
(815) 212-4225
Mailing address
7626 W HICKORY CREEK DR, FRANKFORT, IL 60423-9095
(815) 212-4225
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209026609
IL
363LF0000X
Family Nurse Practitioner
Primary
209026609
IL
Other
Enumeration date
01/17/2023
Last updated
04/14/2026
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