Raciak, Lisa

Raciak, Lisa is an individual health care provider with primary practice located at 2081 Calistoga Dr Suite #2S, New Lenox IL 60451-4831. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Raciak, Lisa can be contacted via phone (888) 736-3611.

Contact Information

Primary practice address
2081 Calistoga Dr Suite #2S New Lenox IL 60451-4831
Phone: (888) 736-3611
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 150015479 Illinois

Profile Details

NPI number 1487006854
LBN Legal business name Raciak, Lisa
Credentials LSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2016
Last updated Jul 8th, 2016 - about 10 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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