Joseph E Lisac, MD Valid NPI
Individual provider · Obstetrics & Gynecology Physician · Aurora, IL
- NPI
- 1962413344
- Type
- Individual (Type 1)
- Primary specialty
- Obstetrics & Gynecology Physician (Obstetrics & Gynecology)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207V00000X
- License number
- 036-085322 (IL)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-08-10
- Last updated
- 2011-06-28
Practice location
1221 N Highland Ave
Aurora, IL 60506-1404
(630) 859-8700