MEDICARE: DR. LISA S GREISING M.D.

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	207R00000X	Internal Medicine Physician	036093326	IL

General Provider Information

NPI Number	:	1578523155
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LISA S GREISING M.D.

Provider Business Mailing Address
First Line	:	2913 N COMMONWEALTH AVE FL 5
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-6211
Country	:	US
Telephone Number	:	773-883-2800
Fax Number	:

Provider Business Practice Location Address
First Line	:	2913 N COMMONWEALTH AVE FL 5
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-6211
Country	:	US
Telephone Number	:	773-883-2800
Fax Number	:

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

Provider Enumeration Date	:	03/27/2006
Last Update Date	:	05/12/2025

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