Search › Illinois › 101Y00000X

Lisa Brown

NPI 1063099695 · on the registry since 2021 · sole proprietor

Practice

Address
1461 W 112th Pl
Chicago, IL 60643
Phone
(312) 646-0734

Additional practice sites

  • 11740 S Western Ave, Chicago, IL

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Also registered as
101YP2500X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-12-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois