Peck, Lisa Merle

Peck, Lisa Merle is an individual health care provider with primary practice located at 350 S Waukegan Rd Ste 100&200 , Deerfield IL 60015-5239. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Peck, Lisa Merle can be contacted via phone (847) 535-7157.

Contact Information

Primary practice address
350 S Waukegan Rd Ste 100&200 Deerfield IL 60015-5239
Phone: (847) 535-7157
Fax: (224) 271-4332
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036-086705 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036086705 Illinois

Profile Details

NPI number 1679539563
LBN Legal business name Peck, Lisa Merle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Sep 11th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679539563 NPPES
Illinois MEDICAID 036086705
Illinois MEDICAID 036-086705

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