Most Relevant Information
Provider Data
| NPI Number: | 1003242124 |
| Provider Name: | LISA RAUBOLT |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 149015331 |
Most Important Dates
| Enumeration Date: | 09/20/2013 |
| Last Updated: | 02/02/2015 |
Provider Practice Location
676 N SAINT CLAIR ST
CHICAGO
IL
606112927
Practice Location Phone/Fax
| Phone: | 3129264512 |
| Fax: |
Provider Mailing Location
676 N SAINT CLAIR ST
CHICAGO
IL
606112927
Provider Mailing Phone/Fax
| Phone: | 3129264512 |
| Fax: |