Individual provider · Type 1 NPI
Lisa Shannon Girdaukas
Specialist · Countryside, IL
NPI number
1598808792
Active
Practice location
9679 W 55th St
Countryside, IL 60525
Fax (708) 352-2715
Mailing address
1530 N Paulina, Unit H
Chicago, IL 60622
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Other specialist providers in Countryside
About NPI 1598808792
Lisa Shannon Girdaukas's National Provider Identifier is 1598808792, issued on Feb 15, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Countryside, IL. The record was last updated on Jul 8, 2007.