Medanic, Lisa C.

Medanic, Lisa C. is an individual health care provider with primary practice located at 29W120 Butterfield Rd Ste 104A , Warrenville IL 60555-2830. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Medanic, Lisa C. can be contacted via phone (630) 393-4019.

Contact Information

Primary practice address
29W120 Butterfield Rd Ste 104A Warrenville IL 60555-2830
Phone: (630) 393-4019
Fax: (630) 904-9871
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X Illinois

Profile Details

NPI number 1194799312
LBN Legal business name Medanic, Lisa C.
Credentials L.C.P.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Dec 13th, 2007 - about 17 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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