Anzo, Lizandra

Anzo, Lizandra is an sole proprietor health care provider with primary practice located at 4255 W 63Rd St , Chicago IL 60629-5041. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Interpreter, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Anzo, Lizandra can be contacted via phone (773) 424-4048.

Contact Information

Primary practice address
4255 W 63Rd St Chicago IL 60629-5041
Phone: (773) 424-4048
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Interpreter 171R00000X Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085-008930 Illinois

Profile Details

NPI number 1376099879
LBN Legal business name Anzo, Lizandra
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 25th, 2016
Last updated Mar 7th, 2023 - about 3 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 1376099879 NPPES
Illinois Other 085-008930 STATE MEDICAL LICENSE
Illinois Other 385006802 STATE MEDICAL LICENSE

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