Lisa J Peters, MD is a
Plastic Surgery physician based in Forest Park, Illinois. Lisa J Peters is licensed to practice in Illinois (license number 036107308) and her current practice location is 7236 Madison St, Forest Park, Illinois. She can be reached at her office (for appointments etc.) via phone at
(708) 524-1400.
NPI number for Lisa J Peters is 1710923164 and her current mailing address is 7236 Madison St, Forest Park, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710923164.
Physician's Profile
Full Name | Lisa J Peters |
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Gender | Female |
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Speciality | Plastic Surgery |
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Location | 7236 Madison St, Forest Park, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710923164
- Provider Enumeration Date: 06/22/2006
- Last Update Date: 08/30/2023
Medical Identifiers
Medical identifiers for Lisa J Peters such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710923164 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208200000X | Plastic Surgery | 036107308 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa J Peters is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Lisa J Peters, MD 7236 Madison St, Forest Park, IL 60130-1765 Ph: (708) 524-1400 | Lisa J Peters, MD 7236 Madison St, Forest Park, IL 60130-1765 Ph: (708) 524-1400 |
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