Individual provider · Type 1 NPI
Lisa Anne Bannister
Women's Health Nurse Practitioner · Joliet, IL
NPI number
1033825419
Active
Practice location
2400 Glenwood Ave Ste 210
Joliet, IL 60435-5498
Mailing address
818 N Broad St
Griffith, IN 46319-2231
Other practice locations
- 160 N Independence Blvd, Romeoville, IL 60446-1803 · (630) 389-1698
- 396 Remington Blvd Ste 230, Bolingbrook, IL 60440-4304 · (630) 389-1401
- 400 N Highland Ave, Aurora, IL 60506-3814 · (630) 389-1726
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Women's Health Nurse Practitioner Primary | 363LW0102X | 209.026405 (IL) |
| Registered Nurse | 163W00000X | 041.360286 (IL) |
Women's Health Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1033825419
Lisa Anne Bannister's National Provider Identifier is 1033825419, issued on Jan 27, 2023. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Joliet, IL. The record was last updated on Jan 27, 2023.