Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa Marie Fontanini

Individual provider Nurse Practitioner · NPI 1922798701

Lisa Marie Fontanini is a Nurse Practitioner in Long Grove, Illinois. Licensed in Illinois. Registered with an NPI since 2023.

Licensed in
IL
In the registry since
2023

Practice location Address checks out

3880 Salem Lake Dr Ste F
Long Grove, IL 60047-5292
Phone: (847) 719-2220
Fax: (847) 719-2265
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209.026950 (IL)

Record details

NPI number1922798701
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 15, 2023
Last updated in NPPESSeptember 4, 2025
Certification dateSeptember 4, 2025

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