Bennett, Lisa A

Bennett, Lisa A is an sole proprietor health care provider with primary practice located at 225 E Chicago Ave , Chicago IL 60611. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Bennett, Lisa A can be contacted via phone (312) 227-6090.

Contact Information

Primary practice address
225 E Chicago Ave Chicago IL 60611
Phone: (312) 227-6090
Fax: (312) 227-9403
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 209.008268 Illinois

Profile Details

NPI number 1922315126
LBN Legal business name Bennett, Lisa A
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2010
Last updated Dec 6th, 2018 - about 8 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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