Joel Lisen, PT

NPI 1861247017 · on the registry since 2024 · sole proprietor

Practice

Address: 5525 S Pulaski Rd
Chicago, IL 60629
Phone: (866) 600-2273
Organisation at this address: Scal Ii Inc
Mp Pediatrics
Finegold Primary Care
Pedro Lopez, M.D., Ltd
Mercy Hospital & Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 24

Registry record

Primary taxonomy: 225100000X
225100000X
Also registered as: 2251X0800X
Licence states on file: FL, IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-10-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois