Provider Demographics
NPI:1942536438
Name:BEGLER, LISA M (NP)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:M
Last Name:BEGLER
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:855 MADISON ST
Mailing Address - Street 2:CREDENTIALING DEPT.
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60302-4420
Mailing Address - Country:US
Mailing Address - Phone:708-386-1000
Mailing Address - Fax:708-386-2839
Practice Address - Street 1:3825 HIGHLAND AVE
Practice Address - Street 2:SUITE 4C
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-1552
Practice Address - Country:US
Practice Address - Phone:630-968-1595
Practice Address - Fax:630-968-1590
Is Sole Proprietor?:No
Enumeration Date:2009-10-19
Last Update Date:2009-10-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL041311007163WN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN0300XNursing Service ProvidersRegistered NurseNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL041311007OtherILINOIS STATE LICENSE NUMBER