Mailliard, Lisa M

Mailliard, Lisa M is an individual health care provider with primary practice located at 5841 S Maryland Ave , Chicago IL 60637-1443. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Mailliard, Lisa M can be contacted via phone (888) 824-0200.

Contact Information

Primary practice address
5841 S Maryland Ave Chicago IL 60637-1443
Phone: (888) 824-0200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 364SG0600X 209000813 Illinois

Profile Details

NPI number 1861514820
LBN Legal business name Mailliard, Lisa M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2007
Last updated Oct 24th, 2022 - 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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