LISA MARIE FONTANINI

LONG GROVE, IL
NPI1922798701
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209.026950)
Enumeration Date2023-05-15
Last Update Date2025-09-04
Business Address
-- LISA MARIE FONTANINI
3880 SALEM LAKE DR STE F
LONG GROVE, IL 60047-5292
Phone number: 847-719-2220
Mailing Address
-- LISA MARIE FONTANINI
3880 SALEM LAKE DR STE F
LONG GROVE, IL 60047-5292
Phone number: 847-719-2220
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