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Lisa Gazdziak
Family Nurse Practitioner in Crystal Lake, Illinois
NPI 1386310605

Lisa Gazdziak is a Family Nurse Practitioner based in Crystal Lake, IL and is specialized in Family. Lisa Gazdziak practices in Crystal Lake, IL. The NPI Number for Lisa Gazdziak is 1386310605 and holds a License No. 209023595 (Illinois).

The current practice location address for Lisa Gazdziak is 1305 Randall Rd, Crystal Lake, IL and can be reached out via phone at 815-356-0386.

Location: 1305 Randall Rd, Crystal Lake, IL, 60014-8601
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386310605
Provider Name
Lisa Gazdziak
Credential
Provider Entity Type
Individual
Gender
Female
Address
1305 Randall Rd, Crystal Lake, IL, 60014-8601
Phone Number
815-356-0386
Fax Number
Provider Enumeration Date
08/17/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1305 Randall Rd
City
Crystal Lake
State
Illinois
Zip
60014-8601
Phone Number
815-356-0386
Fax Number
person
Provider Business Mailing Address Details
Address
1305 Randall Rd
City
Crystal Lake
State
Illinois
Zip
60014-8601
Phone Number
815-356-0386
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209023595 (Illinois)
Definition
Definition to come...
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