person
Lisa M Mailliard
Gerontology Clinical Nurse Specialist in Chicago, Illinois
NPI 1861514820

Lisa M Mailliard is a Gerontology Clinical Nurse Specialist based in Burr Ridge, IL and is specialized in Gerontology. Lisa M Mailliard practices in Chicago, IL. The NPI Number for Lisa M Mailliard is 1861514820 and holds a License No. 209000813 (Illinois).

The current practice location address for Lisa M Mailliard is 5841 S Maryland Ave, Chicago, IL and can be reached out via phone at 888-824-0200.

Location: 5841 S Maryland Ave, Chicago, IL, 60527-5919
person
Provider Profile Details
NPI Number
1861514820
Provider Name
Lisa M Mailliard
Credential
Provider Entity Type
Individual
Gender
Female
Address
5841 S Maryland Ave, Chicago, IL, 60527-5919
Phone Number
888-824-0200
Fax Number
Provider Enumeration Date
04/03/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5841 S Maryland Ave
City
State
Zip
60637-1443
Phone Number
888-824-0200
Fax Number
person
Provider Business Mailing Address Details
Address
5841 S Maryland Ave
City
State
Zip
60637-1443
Phone Number
888-824-0200
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Gerontology
Taxonomy
License No.
209000813 (Illinois)
Definition
Definition to come...
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