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1659761567
LISA EVERTSEN
MELROSE PARK, IL
NPI
1659761567
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085.005350)
Enumeration Date
2015-01-29
Last Update Date
2018-09-03
Business Address
LISA EVERTSEN PA-C
1225 W LAKE ST
MELROSE PARK, IL 60160
Phone number: 708-681-3000
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Mailing Address
LISA EVERTSEN PA-C
840 BONITA AVE
ELK GROVE VILLAGE, IL 60007-4410
Phone number: 847-494-5566
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