Genualdi, Lisa

Genualdi, Lisa is an individual health care provider with primary practice located at 2300 N Childrens Plz , Chicago IL 60614-3363. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Genualdi, Lisa can be contacted via phone (773) 880-4000.

Contact Information

Primary practice address
2300 N Childrens Plz Chicago IL 60614-3363
Phone: (773) 880-4000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 209008616 Illinois

Profile Details

NPI number 1295031342
LBN Legal business name Genualdi, Lisa
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2011
Last updated Feb 8th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1295031342 NPPES
Illinois Other APN LICENSE NUMBER 209008616

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