IndividualActive
Lisa Vander Wall, R.N., CF-M
NPI 1114061785 · Oncology Registered Nurse · Maywood, IL
Provider details
- NPI number
- 1114061785
- Entity type
- Individual
- Primary specialty
- Oncology Registered NurseNursing Service Providers
- Credential
- R.N., CF-M
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Providers
Practice location
2160 S 1st Ave
Maywood, IL 60153-3328
Phone: (708) 327-2058
Approximate (ZIP-level) locationGet directions
Mailing address
804 Belot Ln
New Lenox, IL 60451-9258
Registry dates
- Enumerated
- 2007-02-16
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.