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1588990931
LISA SUKLAM LIN
LA GRANGE, IL
NPI
1588990931
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Former Name
LISA CHAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209013126)
Enumeration Date
2009-10-20
Last Update Date
2021-03-22
Business Address
LISA SUKLAM LIN CNP
1325 COMMUNITY MEMORIAL DR
LA GRANGE, IL 60525-2659
Phone number: 708-245-8900
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Mailing Address
LISA SUKLAM LIN CNP
1325 COMMUNITY MEMORIAL DR
LA GRANGE, IL 60525-2659
Phone number:
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