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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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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