LISA WICHTERMAN

SPRINGFIELD, IL
NPI1881631075
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: IL  036065197)
Enumeration Date2006-05-31
Last Update Date2015-08-04
Business Address
-- LISA WICHTERMAN MD
3050 MONTVALE DR STE A
SPRINGFIELD, IL 62704-6924
Phone number: 217-726-8096
Mailing Address
-- LISA WICHTERMAN MD
2040 W ILES AVE SUITE C
SPRINGFIELD, IL 62704-4183
Phone number: 217-789-0668
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