Verderber, Lisa

Verderber, Lisa is an individual health care provider with primary practice located at 3612 Lake Ave 2C, Wilmette IL 60091-1000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Verderber, Lisa can be contacted via phone (847) 256-2020.

Contact Information

Primary practice address
3612 Lake Ave 2C Wilmette IL 60091-1000
Phone: (847) 256-2020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036101922 Illinois

Profile Details

NPI number 1710924386
LBN Legal business name Verderber, Lisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Apr 1st, 2015 - about 11 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 1710924386 NPPES
Illinois MEDICAID 036101922

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