Provider Demographics
NPI:1770501710
Name:NAFTZGER-KANG, LISA ANNE (APN-CNP)
Entity type:Individual
Prefix:MS
First Name:LISA
Middle Name:ANNE
Last Name:NAFTZGER-KANG
Suffix:
Gender:F
Credentials:APN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2631 GREENLEAF AVE
Mailing Address - Street 2:
Mailing Address - City:WILMETTE
Mailing Address - State:IL
Mailing Address - Zip Code:60091-2220
Mailing Address - Country:US
Mailing Address - Phone:847-251-7126
Mailing Address - Fax:
Practice Address - Street 1:1901 WEST HARRISON STREET
Practice Address - Street 2:JOHN H. 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:312-864-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209-000494363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily