institution
Lisa Oldham Md Llc
Gynecology Physician in Chicago, Illinois
NPI 1013080613

Lisa Oldham Md Llc is a Gynecology Physician based in Chicago, IL and is specialized in Gynecology. Lisa Oldham Md Llc practices in Chicago, IL. The NPI Number for Lisa Oldham Md Llc is 1013080613 and holds a License No. 036105494 (Illinois).

The current practice location address for Lisa Oldham Md Llc is 1300 W Belmont Ave, Chicago, IL and can be reached out via phone at 312-942-0099 and via fax at 773-880-2321. You can also correspond with Lisa Oldham Md Llc through the mailing address at 1300 W BELMONT AVE, CHICAGO, IL - 60657-3200 (mailing address contact number: 312-942-0099).

Location: 1300 W Belmont Ave, Chicago, IL, 60657-3200
institution
Provider Profile Details
NPI Number
1013080613
Provider Name
Lisa Oldham Md Llc
Credential
Provider Entity Type
Organization
Address
1300 W Belmont Ave, Chicago, IL, 60657-3200
Phone Number
312-942-0099
Fax Number
773-880-2321
Provider Enumeration Date
11/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1689636904 01 IL NPI
036105494 05 IL
institution
Provider Business Practice Location Address Details
Address
1300 W Belmont Ave
City
State
Zip
60657-3200
Phone Number
312-942-0099
Fax Number
773-880-2321
person
Provider Business Mailing Address Details
Address
1300 W Belmont Ave
City
State
Zip
60657-3200
Phone Number
312-942-0099
Fax Number
773-880-2321
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
License No.
036105494 (Illinois)
Definition
Definition to come...
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