Provider Demographics
NPI:1891674701
Name:JAWORSKI, LISA MARIE (MSN, APRN, PMHNP-BC)
Entity type:Individual
Prefix:MISS
First Name:LISA
Middle Name:MARIE
Last Name:JAWORSKI
Suffix:
Gender:F
Credentials:MSN, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1180 CAMELOT LN
Mailing Address - Street 2:
Mailing Address - City:LEMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60439-8530
Mailing Address - Country:US
Mailing Address - Phone:630-470-8037
Mailing Address - Fax:
Practice Address - Street 1:16W285 83RD ST UNIT A
Practice Address - Street 2:
Practice Address - City:BURR RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60527-5873
Practice Address - Country:US
Practice Address - Phone:630-358-6893
Practice Address - Fax:630-358-6893
Is Sole Proprietor?:No
Enumeration Date:2025-08-27
Last Update Date:2025-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.033001363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health