Individual
LISA STRADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8605 S. DORCHESTER, CHICAGO, IL 60619
(708) 202-8387
Mailing address
6459 S. ARTESIAN AVE, CHICAGO, IL 60629
(773) 732-5738
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
12/02/2019
Last updated
12/02/2019
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