LIZAMMA MATHEW

CHICAGO, IL
NPI1497831549
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: IL  209-004591)
Enumeration Date2006-10-31
Last Update Date2021-04-27
Business Address
LIZAMMA MATHEW NP
1901-WEST-HARRISON STREET
CHICAGO, IL 60612
Phone number: 312-864-6000
Mailing Address
LIZAMMA MATHEW NP
1685 HOLLY AVE
NORTHBROOK, IL 60062-5021
Phone number: 312-864-3400
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