LISA ANNETTE CONWAY (NPI# 1023419348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023419348 |
| Entity Type | Individual |
| Full Name | LISA ANNETTE CONWAY |
| Other Name | LISA ANNETTE PAUL |
| Credential | PHD |
| Practice Address |
4256 N Ravenswood Ave Ste 215 Chicago IL 60613-1114 |
| Practice Telephone | 3124713910 |
| Mailing Telephone | 3124713910 |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2020-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
071.008678 | IL | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
071008678 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912307281 | Lisa Conway | Dietitian, Registered | 920 Forest Lake Dr Apt 304, Virginia Beach, VA 23464-3646 | 2014-08-24 |
| 1659931806 | Lisa Conway | Nurse Practitioner | 96 Campus Dr, Scarborough, ME 04074-7163 | 2019-06-19 |
| 1457533283 | Lisa Marie Conway | Physician Assistant | 2716 Old Rosebud Rd, Lexington, KY 40509-8008 | 2007-12-04 |
| Street Address |
4256 N RAVENSWOOD AVE STE 215 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60613-1114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487260188 | Exposure Therapy Chicago LLC | Clinic/Center | 4256 N Ravenswood Ave Ste 215, Chicago, IL 60613-1114 | 2020-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261978 | Thorek Radiology Group Nfp | Radiology | 850 West Irving Park Road, Chicago, IL 60613 | 2020-10-08 |
| 1760034128 | Maryellen Karas Lajeunesse | Social Worker | 3930 N. Pine Grove Ave, #2403, Chicago, IL 60613 | 2019-07-15 |
| 1801366430 | Stephanie A Dykema | Psychologist | 4043 N Ravenswood Ave Suite 302, Chicago, IL 60613 | 2018-11-27 |
| 1487154191 | Alan Tsang | Counselor | 655 W Irving Park Rd Ste 203, Chicago, IL 60613 | 2018-02-19 |
| 1972015782 | Integrated Ortho, LLC. | Durable Medical Equipment & Medical Supplies | 3717 N. Ravenswood Ave, Suite 219w, Chicago, IL 60613 | 2017-11-02 |
| 1073048005 | Claire Jolly | Social Worker | 3701 N Ravenswood Ave Ste 301, Chicago, IL 60613 | 2017-04-27 |
| 1730626011 | Marc Fagan | Psychologist | 4101 N Ravenswood Ave., Chicago, IL 60613 | 2017-01-25 |
| 1205385671 | Sara Turner | Psychologist | 3855 N Greenview Ave # 2a, Chicago, IL 60613 | 2016-09-27 |
| 1962955997 | Michelle Montero | Psychologist | 925 W Dakin St Apt 405, Chicago, IL 60613 | 2016-07-26 |
| 1063883494 | Athletico, Ltd | Physical Therapist | 3922 North Sheridan Rd, Chicago, IL 60613 | 2015-10-12 |
| Find all providers in zip 60613 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330993 | Colibri Counseling | Psychologist | 4872 N Kenmore Ave Apt 1, Chicago, IL 60640-3726 | 2020-09-09 |
| 1558974873 | Kelly Hamoudah | Psychologist | 945 W George St Ste 210, Chicago, IL 60657-5876 | 2020-08-26 |
| 1407479447 | Richard J Landau | Psychologist | 913 W Van Buren St Apt 5c, Chicago, IL 60607-3528 | 2020-05-26 |
| 1699394890 | Peter Platten | Psychologist | 4444 N Campbell Ave Apt 1s, Chicago, IL 60625-3076 | 2020-04-09 |
| 1750917571 | Anxiety Clinic of Evanston, LLC | Psychologist | 4604 W Patterson Ave, Chicago, IL 60641-3609 | 2020-03-13 |
| 1255742805 | Seema Saigal | Psychologist | 17 N Dearborn St Fl 15, Adler, Chicago, IL 60602-4310 | 2014-05-16 |
| 1548501570 | Dr. Conron and Associates | Psychologist | 625 N Michigan Ave Ste 1715, Chicago, IL 60611-3685 | 2013-03-15 |
| 1467608091 | Alycia Marie Rammage | Psychologist | 4616 N Kenmore, Unit 203, Chicago, IL 60640 | 2008-08-14 |
| 1982883260 | Nicholas Richard Hammond | Psychologist | 834 W Waveland Ave # 1, Chicago, IL 60613-4302 | 2007-11-02 |
| 1114106697 | Stewart Aaron Shankman | Psychologist | 1007 W Harrison St Rm 1062d, M/c 285, Chicago, IL 60607-7135 | 2007-10-31 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on LISA ANNETTE CONWAY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.