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:
Health care specialties
| Specialty | Code | License # | 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 last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679539563 | NPPES |
| Illinois | MEDICAID | 036086705 | |
| Illinois | MEDICAID | 036-086705 |
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