Ms. Lisa Marie Palazzolo
Physical Therapist - Sports
909 Davis St
Evanston
, Illinois 60208-0001
Ms. Lisa Marie Palazzolo
Physical Therapist - Sports
909 Davis St
Evanston
, Illinois 60208-0001
(734) 330-4486
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About
Features
Specialties
- Physical Therapist - Sports
Languages spoken
- English
Location
First Address
- Ms. Lisa Marie Palazzolo
- 236 W Willow St Coach House
- Chicago, IL
- Zip : 60614-5769
- Phone : (734) 330-4486
Second Address
- Ms. Lisa Marie Palazzolo
- 909 Davis St
- Evanston, IL
- Zip : 60208-0001
- Phone : (847) 733-7906
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251S0007X | Physical Therapist - Sports | 070-014318 | IL |
National Provider Identifier
| NPI | 1316916364 |
|---|---|
| Provider Name | Ms. Lisa Marie Palazzolo |
| First Address | Chicago, IL 60614-5769 |
| Second Address | Evanston, IL 60208-0001 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/03/2006 |
| Last Update Date | 10/12/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.