person
Lisa M De Zoute, APRN,CNP
Gerontology Nurse Practitioner in Chicago, Illinois
NPI 1730569088

Lisa M De Zoute is a Gerontology Nurse Practitioner based in Chicago, IL and is specialized in Gerontology. Lisa M De Zoute practices in Chicago, IL and has the professional credentials of APRN,CNP. The NPI Number for Lisa M De Zoute is 1730569088 and holds a License No. 209012809 (Illinois).

The current practice location address for Lisa M De Zoute is 675 N Saint Clair St Ste 19-100, Chicago, IL and can be reached out via phone at 312-664-3278 and via fax at 312-695-5774.

Location: 675 N Saint Clair St Ste 19-100, Chicago, IL, 60611-5969
person
Provider Profile Details
NPI Number
1730569088
Provider Name
Lisa M De Zoute
Credential
APRN,CNP
Provider Entity Type
Individual
Gender
Female
Address
675 N Saint Clair St Ste 19-100, Chicago, IL, 60611-5969
Phone Number
312-664-3278
Fax Number
312-695-5774
Provider Enumeration Date
06/02/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
675 N Saint Clair St Ste 19-100
City
State
Zip
60611-5969
Phone Number
312-664-3278
Fax Number
312-695-5774
person
Provider Business Mailing Address Details
Address
675 N Saint Clair St Ste 19-100
City
State
Zip
60611-5969
Phone Number
312-664-3278
Fax Number
312-695-5774
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
209012809 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
209012809 (Illinois)
Definition
Definition to come...
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