Individual provider · Type 1 NPI

Lisa Radville, APN

Family Nurse Practitioner · Chicago, IL

NPI number 1164544813 Active

Practice location

1747 W Roosevelt Rd Fl 5
Chicago, IL 60608-1264

Call (312) 226-3288 Map

Fax (312) 996-3848

Mailing address

435 N Kensington Ave
La Grange Park, IL 60526-1873

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209006073 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1164544813

Lisa Radville, APN's National Provider Identifier is 1164544813, issued on Apr 4, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chicago, IL. The record was last updated on Mar 1, 2012.