Search › Illinois › 171100000X
Lijana Shestopal, L.AC., MSOM
NPI 1174163158 · on the registry since 2020 · sole proprietor
Practice
- Address
- 514 N Western Ave Ste B
Lake Forest, IL 60045 - Phone
- (847) 721-2548
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-01-08
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