Healthcare Provider Details

I. General information

NPI: 1891597159
Provider Name (Legal Business Name): LYNDSEY PLISKA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2025
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 S 6TH ST
SPRINGFIELD IL
62703-3454
US

IV. Provider business mailing address

1211 6TH ST
PAWNEE IL
62558-9640
US

V. Phone/Fax

Practice location:
  • Phone: 217-698-7150
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number150.129701
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: