Individual provider · Type 1 NPI

Lisa M. Mailliard

Gerontology Clinical Nurse Specialist · Chicago, IL

NPI number 1861514820 Active

Practice location

5841 S Maryland Ave
Chicago, IL 60637-1443

Mailing address

150 Harvester Dr, Suite 300
Burr Ridge, IL 60527-5919

Specialties and licenses

TaxonomyCodeLicense
Gerontology Clinical Nurse Specialist Primary 364SG0600X209000813 (IL)

Gerontology Clinical Nurse Specialist: Definition to come...

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About NPI 1861514820

Lisa M. Mailliard's National Provider Identifier is 1861514820, issued on Apr 3, 2007. The primary taxonomy on file is Gerontology Clinical Nurse Specialist (364SG0600X), and the practice location is in Chicago, IL. The record was last updated on Oct 24, 2022.