LISA MARIE FONTANINI

LONG GROVE, IL
NPI1922798701
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209.026950)
Enumeration Date2023-05-15
Last Update Date2023-05-15
Business Address
LISA MARIE FONTANINI
1226 MANASSAS LN
LONG GROVE, IL 60047-5085
Phone number: 773-457-3963
Mailing Address
LISA MARIE FONTANINI
1226 MANASSAS LN
LONG GROVE, IL 60047-5085
Phone number: 773-457-3963