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

Specialty	Code	License #	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 4 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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