Depasquale, Lisa Victoria

Depasquale, Lisa Victoria is an individual health care provider with primary practice located at 3430 Grand Ave 400, Gurnee IL 60031-3741. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Depasquale, Lisa Victoria can be contacted via phone (847) 782-9860.

Contact Information

Primary practice address
3430 Grand Ave 400 Gurnee IL 60031-3741
Phone: (847) 782-9860
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X 2305003849 Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5264199 Illinois

Profile Details

NPI number 1942273347
LBN Legal business name Depasquale, Lisa Victoria
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Apr 11th, 2011 - about 14 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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