Evertsen, Lisa

Evertsen, Lisa is an sole proprietor health care provider with primary practice located at 1225 W Lake St , Melrose Park IL 60160. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Evertsen, Lisa can be contacted via phone (708) 681-3000.

Contact Information

Primary practice address
1225 W Lake St Melrose Park IL 60160
Fax: (708) 938-7179
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085.005350 Illinois

Profile Details

NPI number 1659761567
LBN Legal business name Evertsen, Lisa
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2015
Last updated Sep 3rd, 2018 - about 7 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.

Request for update

Popular Providers