Liesel Ratliff, | |
948 N Damen Ave, Chicago, IL 60622-4910 | |
(773) 276-2655 | |
Not Available |
Full Name | Liesel Ratliff |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 948 N Damen Ave, Chicago, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134755390 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209.019948 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lawndale Christian Health Center | 2264336346 | 92 |
Entity Name | Lawndale Christian Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245289214 PECOS PAC ID: 2264336346 Enrollment ID: O20031120000728 |
Mailing Address | Practice Location Address |
---|---|
Liesel Ratliff, 2000 W Lunt Ave, Chicago, IL 60645-3520 Ph: (309) 370-4845 | Liesel Ratliff, 948 N Damen Ave, Chicago, IL 60622-4910 Ph: (773) 276-2655 |
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