Nicole Lis, LCSW

NPI 1720147424 · on the registry since 2006

Practice

Address: 31480 N Us Highway 45
Libertyville, IL 60048
Phone: (847) 680-2715
Fax: (847) 680-3832
Organisation at this address: Speech Path Ltd
Michael S Greenbaum Md S C
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 28

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-09

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