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Individual

LIZABETH SUSAN RANTISSI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
2350 ROYAL BLVD, STE 100, ELGIN, IL 60123-4719
(847) 695-8100
(847) 695-6808
Mailing address
2350 ROYAL BLVD, STE 100, ELGIN, IL 60123-4719
(847) 695-8100
(847) 695-6808

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085002646
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
085002646
LICENSE
IL
Enumeration date
03/16/2007
Last updated
12/29/2023
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