Basic Information
| Provider Information | |||||||||
| NPI: | 1740835800 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | RAFF | ||||||||
| FirstName: | LISA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | PHARMD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 800 BIESTERFIELD RD STE 210 | ||||||||
| Address2: | |||||||||
| City: | ELK GROVE VILLAGE | ||||||||
| State: | IL | ||||||||
| PostalCode: | 600073363 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8475770620 | ||||||||
| FaxNumber: | 2247644663 | ||||||||
| Practice Location | |||||||||
| Address1: | 800 BIESTERFIELD RD STE 210 | ||||||||
| Address2: | |||||||||
| City: | ELK GROVE VILLAGE | ||||||||
| State: | IL | ||||||||
| PostalCode: | 600073363 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8475770620 | ||||||||
| FaxNumber: | 2247644663 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/06/2019 | ||||||||
| LastUpdateDate: | 08/06/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1835X0200X | 051.289953 | IL | Y | Pharmacy Service Providers | Pharmacist | Oncology |
No ID Information.