| Lisa M Mailliard, | |
|
5841 S Maryland Ave, Chicago, IL 60637-1443 | |
| (888) 824-0200 | |
| Not Available |
| Full Name | Lisa M Mailliard |
|---|---|
| Gender | Female |
| Speciality | Certified Clinical Nurse Specialist (cns) |
| Experience | 30 Years |
| Location | 5841 S Maryland 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 |
|---|---|---|---|
| 1861514820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 364SG0600X | Clinical Nurse Specialist - Gerontology | 209000813 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| The University Of Chicago Medical Center | Chicago, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Chicago | 7719899426 | 1157 |
| Entity Name | University Of Chicago |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821048786 PECOS PAC ID: 7719899426 Enrollment ID: O20031103000094 |
| Entity Name | The University Of Chicago Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033218128 PECOS PAC ID: 7618880766 Enrollment ID: O20031106000203 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa M Mailliard, 150 Harvester Dr, Suite 300, Burr Ridge, IL 60527-5919 Ph: () - | Lisa M Mailliard, 5841 S Maryland Ave, Chicago, IL 60637-1443 Ph: (888) 824-0200 |
Heather Keldahl, CRNA Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 1653 W Congress Pkwy, Jelke 739, Chicago, IL 60612 Phone: 312-942-6504 Fax: 312-942-5773 | |
Nancy Therese Scott, DNP Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 5841 S Maryland Avenue, University Of Chicago Medicine, Chicago, IL 60637 Phone: 773-926-9147 Fax: 773-702-8690 | |
Patricia Nwadinma Ezirike, PMHNP Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 2207 W Lunt Ave, Chicago, IL 60645 Phone: 773-297-7911 | |
Gabriel Campos, Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 5841 S Maryland Ave, Chicago, IL 60637 Phone: 773-702-1927 Fax: 773-702-2837 | |
Maria Barnes, C.N.S. Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 5841 S Maryland Ave, Chicago, IL 60637 Phone: 773-702-1000 | |
Mary Jane Welch, NP Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 2150 W Harrison St, Chicago, IL 60612 Phone: 312-942-3112 Fax: 312-942-2874 | |
Nancy Ruth Meyer, APN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 2545 S King Dr, Chicago, IL 60616 Phone: 312-842-7117 |