MEDICARE: MRS. MORGAN TIFFANY LESIEWICZ APN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	041376616	IL
2	363LF0000X	Family Nurse Practitioner	209009831	IL

General Provider Information

NPI Number	:	1255682670
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MORGAN TIFFANY LESIEWICZ APN

Provider Business Mailing Address
First Line	:	2112 W PETERSON AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60659-4277
Country	:	US
Telephone Number	:	773-761-3001
Fax Number	:

Provider Business Practice Location Address
First Line	:	2112 W PETERSON AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60659-4277
Country	:	US
Telephone Number	:	773-761-3001
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/25/2012
Last Update Date	:	02/07/2014

Similar Medicare Providers

1740223031 — HIGHLAND PARK CVS LLC
Practice Location Address:

2112 W PETERSON AVE
CHICAGO, IL
60659-4277

Practice Phone: 773-761-3006
Practice Fax: 773-761-3413

1083940555 — CELEZTE FRANCO
Practice Location Address:

2112 W PETERSON AVE
CHICAGO, IL
60659-4277

Practice Phone: 773-761-3006
Practice Fax:

1285928549 — DR. VALERIE ANNE LOBOREC PHARMD
Practice Location Address:

2112 W PETERSON AVE , T-2079
CHICAGO, IL
60659-4277

Practice Phone: 773-761-3006
Practice Fax: 773-761-3413

1477848109 — STEPHANIE MOY PHARMD
Practice Location Address:

2112 W PETERSON AVE , T2079
CHICAGO, IL
60659-4277

Practice Phone: 773-761-3006
Practice Fax: 773-761-3413

1225381759 — MRS. INGRID KERNIZAN WATKINS FNP-BC
Practice Location Address:

2112 W PETERSON AVE
CHICAGO, IL
60659-4277

Practice Phone: 773-921-9669
Practice Fax:

1962833368 — TARGET CORPORATION
Practice Location Address:

2112 W PETERSON AVE
CHICAGO, IL
60659-4277

Practice Phone: 773-761-3001
Practice Fax:

Directions to “ MRS. MORGAN TIFFANY LESIEWICZ APN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.