Individual provider · Type 1 NPI

Lisa Gazdziak

Family Nurse Practitioner · Crystal Lake, IL

NPI number 1386310605 Active

Practice location

1305 Randall Rd
Crystal Lake, IL 60014-8601

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209023595 (IL)

Family Nurse Practitioner: Definition to come...

15 other providers at this address

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About NPI 1386310605

Lisa Gazdziak's National Provider Identifier is 1386310605, issued on Aug 17, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Crystal Lake, IL. The record was last updated on Sep 21, 2021.