Dr Lisa J Green, | |
31 W 155th St, Harvey, IL 60426 | |
(708) 596-5177 | |
(708) 339-3583 |
Full Name | Dr Lisa J Green |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 31 W 155th St, Harvey, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114973062 | NPI | - | NPPES |
036086707 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 036086707 (Illinois) | Secondary |
207Q00000X | Family Medicine | 036086707 (Illinois) | Primary |
Entity Name | Family Christian Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093855736 PECOS PAC ID: 6507758612 Enrollment ID: O20040325000572 |
Mailing Address | Practice Location Address |
---|---|
Dr Lisa J Green, 31 W 155th St, Harvey, IL 60426-3556 Ph: (708) 596-5177 | Dr Lisa J Green, 31 W 155th St, Harvey, IL 60426 Ph: (708) 596-5177 |
Ted George Ody Achufusi, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 31 W 155th St, Harvey, IL 60426 Phone: 708-596-5177 Fax: 708-596-5518 | |
Dr. Cornelius Avery Mitchell, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 31 W 155th St, Harvey, IL 60426 Phone: 708-596-5177 Fax: 708-339-3583 | |
Dr. Laverne Monise Barnes, DO, MPH Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 31 W 155th St, Harvey, IL 60426 Phone: 708-596-5177 Fax: 708-522-0410 | |
Aziz H Abed, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Ingalls Dr, Harvey, IL 60426 Phone: 708-333-2300 | |
Jennifer Taylor, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 31 W 155th St, Harvey, IL 60426 Phone: 708-596-5177 Fax: 708-339-3583 | |
Robert C Watkins Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 31 W 155th St, Harvey, IL 60426 Phone: 708-596-5177 Fax: 708-596-5518 | |
Felicia S Williams, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 31 W 155th St, Harvey, IL 60426 Phone: 708-596-5177 |