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1225095565
LISA FORTMAN
HINSDALE, IL
NPI
1225095565
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL I36083565)
Enumeration Date
2006-04-28
Last Update Date
2021-03-16
Business Address
Mrs. LISA FORTMAN MD
911 N ELM ST SUITE 301
HINSDALE, IL 60521-3634
Phone number: 630-986-1420
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Mailing Address
Mrs. LISA FORTMAN MD
911 N ELM ST SUITE 301
HINSDALE, IL 60521-3634
Phone number: 630-856-6865
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