Search › Illinois › 101YM0800X
Lisa Bong, LCSW
NPI 1396132510 · on the registry since 2015 · sole proprietor
Practice
- Address
- 787 Euclid Ave
Glen Ellyn, IL 60137 - Phone
- (630) 962-2515
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-04-26
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