De Zoute, Lisa M

De Zoute, Lisa M is an individual health care provider with primary practice located at 675 N Saint Clair St Ste 19-100 , Chicago IL 60611-5969. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. De Zoute, Lisa M can be contacted via phone (312) 664-3278.

Contact Information

Primary practice address
675 N Saint Clair St Ste 19-100 Chicago IL 60611-5969
Phone: (312) 664-3278
Fax: (312) 695-5774
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 209012809 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 209012809 Illinois

Profile Details

NPI number 1730569088
LBN Legal business name De Zoute, Lisa M
Credentials APRN, CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2015
Last updated May 4th, 2022 - about 2 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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