Lisa M Grossman, | |
1875 Dempster St, Suite 465, Park Ridge, IL 60068-1129 | |
(847) 825-1100 | |
Not Available |
Full Name | Lisa M Grossman |
---|---|
Gender | Female |
Speciality | Certified Nurse Midwife (cnm) |
Experience | 9 Years |
Location | 1875 Dempster St, Park Ridge, 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 |
---|---|---|---|
1215392576 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | 209.013705 (Illinois) | Primary |
364SW0102X | Clinical Nurse Specialist - Women's Health | 209.013706 (Illinois) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Advocate Lutheran General Hospital | Park ridge, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advocate Health And Hospitals Corporation | 7810800935 | 2484 |
Entity Name | Advocate Health And Hospitals Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
Mailing Address | Practice Location Address |
---|---|
Lisa M Grossman, 29373 Network Pl, Chicago, IL 60673-1129 Ph: (847) 390-5900 | Lisa M Grossman, 1875 Dempster St, Suite 465, Park Ridge, IL 60068-1129 Ph: (847) 825-1100 |
Ms. Katherine Stick Puls, C.N.M./A.P.N. Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 712 Babetta Ave, Park Ridge, IL 60068 Phone: 847-698-0198 Fax: 847-864-1208 | |
Mrs. Lisa Ann Neigebauer, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1875 Dempster St Ste 360, Park Ridge, IL 60068 Phone: 847-825-1100 Fax: 847-825-0994 |