Lisa M. Fantroy in Olympia Fields - Physician Assistant
Lisa M. Fantroy - NPI 1982799508
Lisa M. Fantroy is a Physician Assistant in Olympia Fields, Illinois. Lisa M. Fantroy practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Lisa M. Fantroy is 1982799508. The last update date is 2021-03-18.
Lisa M. Fantroy's current location address is 4001 Vollmer Rd., Olympia Fields, Illinois. You can contact this provider via phone number 7084818883 and fax number 7084812917. The mailing address for Lisa M. Fantroy is 4001 Vollmer Rd., Olympia Fields, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa M. Fantroy |
|---|---|
| Address | 4001 Vollmer Rd., Olympia Fields, Illinois |
| Phone Number | 7084818883 |
| Fax Number | 7084812917 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1982799508 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2021-03-18 |
Provider Mailing Address Detail
| Address | 4001 Vollmer Rd. |
|---|---|
| City | Olympia Fields |
| State | Illinois (IL) |
| Post Code | 60461 |
| Phone Number | 7084818883 |
| Fax Number | 7084812917 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 85001107 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| IL5686021 | IL | MEDICARE PTAN |
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What is the unique 10-digit identification code assigned to Lisa M. Fantroy by the Centers for Medicare & Medicaid Services?
The Lisa M. Fantroy has been issued the NPI (National Provider Identifier) 1982799508, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
What is the Lisa M. Fantroy's area of specialization and corresponding taxonomy classification?
The Lisa M. Fantroy's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
What is Lisa M. Fantroy's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Lisa M. Fantroy is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did the Lisa M. Fantroy receive its 1982799508 assignment from the Centers for Medicare & Medicaid Services?
The Lisa M. Fantroy was assigned its 1982799508 by the Centers for Medicare & Medicaid Services on 2006-10-03.
As of what date were the details related to Lisa M. Fantroy most recently updated or revised?
The information pertaining to Lisa M. Fantroy, including its address, specialty, and other relevant details, was last updated or revised on 2021-03-18.
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