LISA CHARIVUKALAYIL WILSON

CHICAGO, IL
NPI1326936865
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209032604)
Enumeration Date2025-06-24
Last Update Date2025-06-24
Business Address
LISA CHARIVUKALAYIL WILSON
7741 W CATALPA AVE
CHICAGO, IL 60656-1638
Phone number: 773-808-9330
Mailing Address
LISA CHARIVUKALAYIL WILSON
7741 W CATALPA AVE
CHICAGO, IL 60656-1638
Phone number: 773-808-9330