Rothermel, Lisa

Rothermel, Lisa is an individual health care provider with primary practice located at 1909 Cheker Sq , East Hazel Crest IL 60429-1442. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Rothermel, Lisa can be contacted via phone (708) 647-3347.

Contact Information

Primary practice address
1909 Cheker Sq East Hazel Crest IL 60429-1442
Phone: (708) 647-3347
Fax: (708) 647-3505
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1972967677
LBN Legal business name Rothermel, Lisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2016
Last updated Apr 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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Identifiers

StateTypeNumberIssuer
All States NPI 1972967677 NPPES
Illinois Other 17558 CADC

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