Individual provider · Type 1 NPI
Lisa Marie Fontanini
Nurse Practitioner · Long Grove, IL
Practice location
3880 Salem Lake Dr Ste F
Long Grove, IL 60047-5292
Fax (847) 719-2265
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 209.026950 (IL) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1922798701
Lisa Marie Fontanini's National Provider Identifier is 1922798701, issued on May 15, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Long Grove, IL. The record was last updated on Sep 4, 2025.