| Doctor Name: | LIDIA ZAWISZA |
| NPI Number: | 1235526187 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 041.399863 |
| Business Practice Address: | 1802 Plum Grove Rd 2b Rolling Meadows, IL - 600081171 |
| Business Phone Number: | 8479100668 |
| Business Fax Number: | |
| Mailing Address: | 1802 Plum Grove Rd, 2b ROLLING MEADOWS |
| State: | IL |
| Postal Code: | 60008 |
| Phone Number: | 8479100668 |
| Fax Number: | |
| NPI Enumeration Date: | 04/17/2015 |
| NPI Last Update Date: | 04/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WA0400X |
| License Number: | 041.399863 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |