Lisett Elizabeth Avalos

Individual provider Active NPI Case Manager/Care Coordinator · Chicago, IL

NPI 1306765896 · NPPES record last updated Jul 10, 2026

Key facts

NPI
1306765896
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
3062 E 91St St
Chicago, IL 60617-4401
Phone
(773) 371-2900
NPI assigned
Jul 10, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

3062 E 91St St
Chicago, IL 60617-4401

Mailing address

4541 S la Crosse Ave
Chicago, IL 60638-1955
Phone (312) 868-2579

Other providers in Chicago, IL

All providers in Chicago, IL · Case Manager/Care Coordinator in Illinois

Sources for this page

Verify at the official NPI Registry.