LISA GOLD

CHICAGO, IL
NPI1477689594
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: IL  056-004414)
Enumeration Date2007-02-25
Last Update Date2007-07-08
Business Address
-- LISA GOLD MS, OTR L
1259 N WOOD ST 102
CHICAGO, IL 60622-3265
Phone number: 773-276-7876
Mailing Address
-- LISA GOLD MS, OTR L
1259 N WOOD ST 102
CHICAGO, IL 60622-3265
Phone number: 773-276-7876
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