Individual
LISA BASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
4205 WESTBROOK DR, AURORA, IL 60504-4124
(630) 527-1818
(630) 527-1244
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209011605
IL
Other
Enumeration date
07/14/2014
Last updated
06/30/2023
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