Lisa Oldham Md Llc

NPI 1013080613 - Obstetrics & Gynecology - 207VG0400X

NPI Details
NPI 1013080613
Enumeration Date 11/15/2006
Last Updated 05/27/2014
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name LISA MARIE LISA
Position PHYSICIAN
Phone (312) 942-0099
Fax (773) 880-2321
Practice Location
1300 W BELMONT AVE
SUITE 10
CHICAGO IL, 60657-3200, US
Phone (312) 942-0099
Fax (773) 880-2321
Business Location
1300 W BELMONT AVE
SUITE 10
CHICAGO IL, 60657-3200, US
Phone (312) 942-0099
Fax (773) 880-2321
Toxanomy
Taxonomy Code 207VG0400X
License State Illinois
License Number 036105494
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According to our database, Lisa Oldham Md Llc NPI is 1013080613, taxonomy code is 207VG0400X and license number is 036105494, license state is located at Illinois. Lisa Oldham Md Llc physically located at 1300 W Belmont Ave, Chicago IL, 60657-3200. NPI Number 1033115704 has the healthcare provider type.

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1013080613 NPI number is provided on an as is basis without warranty of any kind. 1013080613 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Oldham Md Llc are for informational purposes only.