Thornton, Lisa S

Thornton, Lisa S is an individual health care provider with primary practice located at 1401 S California Ave , Chicago IL 60608-1858. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Thornton, Lisa S can be contacted via phone (773) 522-5857.

Contact Information

Primary practice address
1401 S California Ave Chicago IL 60608-1858
Phone: (773) 522-5857
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X Illinois

Profile Details

NPI number 1598757759
LBN Legal business name Thornton, Lisa S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Jul 8th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1598757759 NPPES
Illinois MEDICAID 036-078888-2

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