SearchIllinois222Q00000X

Lisa Polito

NPI 1841498458 · on the registry since 2007 · sole proprietor

Practice

Address
11603 25th St W
Milan, IL 61264
Phone
(309) 269-9396
Fax
(309) 787-6751

Registry record

Primary taxonomy
222Q00000X
222Q00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-10

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