Amy Liss, PA-C

NPI #1407360308 in Oak Lawn, Illinois

Provider Information

NPI Number: 1407360308
Entity Type: Individual
Name: Amy Liss, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 30, 2017
Last Updated: Jun 3, 2020

Practice Location

Address: 9921 SOUTHWEST HWY
City: Oak Lawn
State: Illinois
ZIP Code: 60453-3754
Phone: (708) 499-5678

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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