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1790945962
LISA ANN MILLSAP
MAYWOOD, IL
NPI
1790945962
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Former Name
LISA ANN ILLENBERG
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: IL 209005062)
Enumeration Date
2008-06-11
Last Update Date
2021-04-23
Business Address
LISA ANN MILLSAP APRN-BC
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 708-216-9608
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Mailing Address
LISA ANN MILLSAP APRN-BC
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 708-216-9608
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