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NPI Code Detail

MEDICARE: LISA L PILLSBURY MD

MEDICARE: LISA L PILLSBURY MD
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
1207RN0300XNephrology Physician036084900IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11616108OTHERILBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558369231
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA L PILLSBURY MD
Provider Business Mailing Address
First Line : 120W 22ND ST 200
Second Line :
City : OAK BROOK
State : IL
Zip : 60523-1563
Country : US
Telephone Number : 630-974-5240
Fax Number : 630-974-5274
Provider Business Practice Location Address
First Line : 901 BIESTERFIELD RD
Second Line : SUITE 310
City : ELK GROVE VILLAGE
State : IL
Zip : 60007-3392
Country : US
Telephone Number : 847-952-9332
Fax Number : 847-952-9338
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 11/10/2020

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Directions to “ LISA L PILLSBURY MD” Practice Location

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