Rantissi, Lizabeth Susan

Rantissi, Lizabeth Susan is an individual health care provider with primary practice located at 2350 Royal Blvd Ste 100, Elgin IL 60123-4719. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Rantissi, Lizabeth Susan can be contacted via phone (847) 695-8100.

Contact Information

Primary practice address
2350 Royal Blvd Ste 100 Elgin IL 60123-4719
Phone: (847) 695-8100
Fax: (847) 695-6808
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085002646 Illinois

Profile Details

NPI number 1801910914
LBN Legal business name Rantissi, Lizabeth Susan
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2007
Last updated Dec 29th, 2023 - about last year

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 1801910914 NPPES
Illinois Other 085002646 LICENSE

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