Healthcare Provider Details

I. General information

NPI: 1205756145
Provider Name (Legal Business Name): LISA M CORRIGAN BILKEY L.AC., MSOM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 W CHICAGO AVE
CHICAGO IL
60654-2801
US

IV. Provider business mailing address

48 W CRYSTAL AVE
LOMBARD IL
60148-1618
US

V. Phone/Fax

Practice location:
  • Phone: 312-243-8848
  • Fax:
Mailing address:
  • Phone: 312-243-8848
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number19800583
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: