Grossman, Lisa M
Grossman, Lisa M is an individual health care provider with primary practice located at 1875 Dempster St Suite 465, Park Ridge IL 60068-1129. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Grossman, Lisa M can be contacted via phone (847) 825-1100.Contact Information
Primary practice address
1875 Dempster St Suite 465
Park Ridge IL 60068-1129
Phone: (847) 825-1100
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 209.013705 | Illinois |
Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 364SW0102X | 209.013706 | Illinois |
Profile Details
NPI number | 1215392576 |
---|---|
LBN Legal business name | Grossman, Lisa M |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 30th, 2015 |
Last updated | Sep 19th, 2022 - about 3 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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