Provider Demographics
NPI:1588785273
Name:GIORDANO, LISA (MD)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:
Last Name:GIORDANO
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1900 W POLK ST
Mailing Address - Street 2:11TH FLOOR PEDIATRICS, STROGER HOSPITAL OF COOK COUNTY
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-3723
Mailing Address - Country:US
Mailing Address - Phone:312-864-4166
Mailing Address - Fax:312-864-9844
Practice Address - Street 1:1901 W HARRISON ST
Practice Address - Street 2:STROGER HOSPITAL OF COOK COUNTY
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3714
Practice Address - Country:US
Practice Address - Phone:312-864-4166
Practice Address - Fax:312-864-9844
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2013-03-08
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Provider Licenses
StateLicense IDTaxonomies
IL036-0863072080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILG38592Medicare UPIN