Rondeau, Lisa

Rondeau, Lisa is an individual health care provider with primary practice located at 303 W Ogden Ave , Westmont IL 60559-1419. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Rondeau, Lisa can be contacted via phone (630) 432-6200.

Contact Information

Primary practice address
303 W Ogden Ave Westmont IL 60559-1419
Phone: (630) 432-6200
Fax: (630) 432-6660
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036125056 Illinois

Profile Details

NPI number 1285828293
LBN Legal business name Rondeau, Lisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2007
Last updated Aug 18th, 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 1285828293 NPPES
Illinois MEDICAID 036125056

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