Conway, Lisa Annette

Conway, Lisa Annette is an individual health care provider with primary practice located at 4256 N Ravenswood Ave Ste 215 , Chicago IL 60613-1114. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Cognitive & Behavioral. Behavioral Health & Social Service Providers / Cognitive & Behavioral is her primary health care specialty. Conway, Lisa Annette can be contacted via phone (312) 471-3910.

Contact Information

Primary practice address
4256 N Ravenswood Ave Ste 215 Chicago IL 60613-1114
Phone: (312) 471-3910
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071008678 Illinois
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 071.008678 Illinois

Profile Details

NPI number 1023419348
LBN Legal business name Conway, Lisa Annette
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2014
Last updated Oct 3rd, 2020 - about 4 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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