Individual
LINA AVIZIENIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
7500 W COLLEGE DR, PALOS HEIGHTS, IL 60463-1133
(708) 923-4973
Mailing address
11637 CHESAPEAKE DR, PLAINFIELD, IL 60585-2739
(708) 334-1005
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209028032
IL
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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