Anderson-Shaw, Lisa K

Anderson-Shaw, Lisa K is an individual health care provider with primary practice located at Macneal Trinity Medical Cetner 3249 Oak Park Avenue, Berwyn IL 60402. She recently has only one registered license in Other Service Providers / Clinical Ethicist, which is considered as her primary health care specialty. Anderson-Shaw, Lisa K can be contacted via phone (708) 738-9100.

Contact Information

Primary practice address
Macneal Trinity Medical Cetner 3249 Oak Park Avenue Berwyn IL 60402
Phone: (708) 738-9100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Clinical Ethicist 174V00000X 209001980 Illinois

Profile Details

NPI number 1619586518
LBN Legal business name Anderson-Shaw, Lisa K
Credentials APN, BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2020
Last updated Jul 27th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619586518 NPPES
Illinois Other 53653162873A STATE DRIVERS LICENCE

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