| Dr Lisa Katherine Kearney, DDS | |
|
4751 N Kedzie Ave, 2nd Floor, Chicago, IL 60625 | |
| (312) 432-4360 | |
| Not Available |
| Full Name | Dr Lisa Katherine Kearney |
|---|---|
| Gender | Female |
| Speciality | Dentist |
| Location | 4751 N Kedzie Ave, Chicago, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376651232 | NPI | - | NPPES |
| 9184040 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019-026123 (Illinois) | Secondary |
| 122300000X | Dentist | 019026123 (Illinois) | Primary |
| Entity Name | Erie Family Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760499545 PECOS PAC ID: 9537050422 Enrollment ID: O20040322000689 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lisa Katherine Kearney, DDS 2710 N Fairfield Ave Apt 2s, Chicago, IL 60647-1863 Ph: (773) 292-0655 | Dr Lisa Katherine Kearney, DDS 4751 N Kedzie Ave, 2nd Floor, Chicago, IL 60625 Ph: (312) 432-4360 |
Dr. Philip E Fidel, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3236 W Fullerton Ave, Chicago, IL 60647 Phone: 773-276-0300 Fax: 773-252-5994 | |
Bilus D Poles, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1945 W Wilson Ave, Chicago, IL 60640 Phone: 773-275-8855 | |
Theresa Westfallen, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1738 W North Ave, Chicago, IL 60622 Phone: 773-276-5566 Fax: 773-276-8780 | |
Dr. Justine S Gasior, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6820 S Pulaski Rd, Chicago, IL 60629 Phone: 773-581-4627 Fax: 773-581-3155 | |
Dr. William Kwok Kuen Wan, M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2262 S. Wentworth Ave, 2nd Floor, Chicago, IL 60616 Phone: 312-791-1013 Fax: 312-791-1444 | |
Gandy S Garcia, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3915 W 26th St, Chicago, IL 60623 Phone: 773-522-2929 Fax: 773-522-2930 | |
Dr. Sodabeh Etminan, DMD Dentist Medicare: Medicare Enrolled Practice Location: 7131 S Jeffery Blvd Ste A, Chicago, IL 60649 Phone: 773-256-0526 |