Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lisa M. Fantroy, PA-C

Individual provider Physician Assistant · NPI 1982799508

Lisa M. Fantroy, PA-C is a Physician Assistant in Hazel Crest, Illinois. Qualified in 1998, 28 years ago. Practices with Rush University Medical Group, a 1,499-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
28
Licensed in
IL
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

24 Carrington Ct
Hazel Crest, IL 60429-2517
Phone: (708) 922-9184
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4001 Vollmer Rd., Olympia Fields, IL 60461 — (708) 481-8883

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085001107 (IL)

Record details

NPI number1982799508
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 3, 2006
Last updated in NPPESMay 27, 2025
Certification dateMay 27, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Rush University Medical Group — 1499 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Hazel Crest