Lin, Lisa Suklam
Lin, Lisa Suklam is an individual health care provider with primary practice located at 1325 Community Memorial Dr , La Grange IL 60525-2659. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lin, Lisa Suklam can be contacted via phone (708) 245-8900.Contact Information
Primary practice address
1325 Community Memorial Dr
La Grange IL 60525-2659
Phone: (708) 245-8900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209013126 | Illinois |
Profile Details
| NPI number | 1588990931 |
|---|---|
| LBN Legal business name | Lin, Lisa Suklam |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2009 |
| Last updated | Mar 22nd, 2021 - about 4 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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