Dr LIZA G ICAYAN MD is a female medical professional, specializing in Internal Medicine. She graduated in 1990 from Saint Louis University School Of Medicine.
NORTHSHORE UNIVERSITY HEALTHSYSTEM FACULTY PRACTICE ASSOCIATES
2650 RIDGE AVE
EVANSTON
IL
602011718
Tel:
| Npi | 1316922529 |
| Pac Id | 4183692379 |
| Professional Enrollment Id | I20040924000616 |
| Last Name | ICAYAN |
| First Name | LIZA |
| Middle Name | G |
| Suffix | |
| Gender | F |
| Credential | MD |
| Medical School Name | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | INTERNAL MEDICINE |
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| Organization Legal Name | NORTHSHORE UNIVERSITY HEALTHSYSTEM FACULTY PRACTICE ASSOCIATES |
| Group Practice Pac Id | 2163334699 |
| Number Of Group Practice Members | 1286 |
| Line 1 Street Address | 2650 RIDGE AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | Y |
| City | EVANSTON |
| State | IL |
| Zip Code | 602011718 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 140010 |
| Hospital Affiliation Lbn 1 | NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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