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1922315126
LISA A BENNETT
CHICAGO, IL
NPI
1922315126
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Other Name
LISA KEYS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: IL 209.008268)
Enumeration Date
2010-09-09
Last Update Date
2018-12-06
Business Address
LISA A BENNETT Nurse Practitioner
225 E CHICAGO AVE
CHICAGO, IL 60611
Phone number: 312-227-6090
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Mailing Address
LISA A BENNETT Nurse Practitioner
4012 S INDIANA AVE UNIT 1N
CHICAGO, IL 60653
Phone number: 773-880-4757
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