Most Relevant Information
Provider Data
NPI Number: | 1003257890 |
Provider Name: | LISA HIRSCHLE MPT |
Entity Type: | Individual |
Taxonomy Code: | 171W00000X |
Specialty: | Contractor |
License Number: | 070.011989 |
Most Important Dates
Enumeration Date: | 07/09/2013 |
Last Updated: | 07/09/2013 |
Provider Practice Location
307 GREENLEAF AVE
WILMETTE
IL
600911909
Practice Location Phone/Fax
Phone: | 7734050873 |
Fax: |
Provider Mailing Location
307 GREENLEAF AVE
WILMETTE
IL
600911909
Provider Mailing Phone/Fax
Phone: | 7734050873 |
Fax: |