Doctor Name: | DR. LISA BETH GELMAN |
NPI Number: | 1194981555 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 125054624 |
Business Practice Address: | 1675 Dempster Park Ridge, IL - 600681110 |
Business Phone Number: | 8473189300 |
Business Fax Number: | 8477239566 |
Mailing Address: | 701 Lee St, Suite 300 DES PLAINES |
State: | IL |
Postal Code: | 600164545 |
Phone Number: | 8473905900 |
Fax Number: | 8473905922 |
NPI Enumeration Date: | 08/04/2008 |
NPI Last Update Date: | 10/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 125054624 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |