DR. SHARON LEWIS LIETEAU (NPI# 1427279777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427279777 |
| Entity Type | Individual |
| Full Name | DR. SHARON LEWIS LIETEAU |
| Credential | M.D. |
| Practice Address |
415 South Kilpatrick Avenue Chicago IL 60644 |
| Mailing Address |
7006 South Euclid Ave Chicago IL 60649 |
| Practice Telephone | 7738541511 |
| Practice Fax Number | 7738548300 |
| Mailing Telephone | 7733633333 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0015X |
Psychiatry & Neurology Specialization: Psychosomatic Medicine |
IL | Allopathic & Osteopathic Physicians |
| Street Address |
415 SOUTH KILPATRICK AVENUE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710535638 | Marta Yvonne Palmer | Technician | 5008 W Adams, Chicago, IL 60644 | 2019-09-04 |
| 1861056848 | B U I L D Incorporated | Social Worker | 5100 W Harrison St., Chicago, IL 60644 | 2019-04-25 |
| 1851806269 | Habilitative Systems, Inc. | Case Management | 4732 W Ohio St, Chicago, IL 60644 | 2017-12-07 |
| 1336408665 | Meghan Nancy Daw | Dietitian, Registered | 646 S Central Ave, Chicago, IL 60644 | 2012-05-07 |
| 1164790515 | Elizabeth Eleanor Reid-tate | Pharmacist | 5222 W. Madison Avenue, Chicago, IL 60644 | 2011-12-13 |
| 1134458466 | Power Teen Program | Psychologist | 300 N Central Ave, Chicago, IL 60644 | 2009-12-16 |
| 1417198342 | Betty Jean Lofton | Counselor | 5938 W. Midway Park, Chicago, IL 60644 | 2009-03-24 |
| 1881856094 | Sanjay M. Patel M.d. S.c. | Psychiatry & Neurology | 5730 W. Roosevelt Road, Chicago, IL 60644 | 2008-06-29 |
| 1639348691 | Ysl Care, Inc | Community Based Residential Treatment Facility, Mental Illness | 5107-21 West Jackson Blvd, Chicago, IL 60644 | 2008-02-25 |
| 1073795845 | Maryanne Rakidzioski | Occupational Therapist | 5103 W Jackson Blvd, Chicago, IL 60644 | 2007-12-03 |
| Find all providers in zip 60644 | ||||
| Taxonomy Code | 2084P0015X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychosomatic Medicine |
| Psychosomatic Medicine is subspecialty in the diagnosis and treatment of psychiatric disorders and symptoms in complex medically ill patients. This subspecialty includes treatment of patients with acute or chronic medical, neurological, obstetrical or surgical illness in which psychiatric illness is affecting their medical care and/or quality of life such as HIV infection, organ transplantation, heart disease, renal failure, cancer, stroke, traumatic brain injury, high-risk pregnancy and COPD, among others. Patients also may be those who have a psychiatric disorder that is the direct consequence of a primary medical condition, or a somatoform disorder or psychological factors affecting a general medical condition. Psychiatrists specializing in Psychosomatic Medicine provide consultation-liaison services in general medical hospitals, attend on medical psychiatry inpatient units, and provide collaborative care in primary care and other outpatient settings. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366883555 | David Joshua Banayan | Psychiatry & Neurology | 2150 W Harrison St, Rush University Medical Center, Chicago, IL 60612-3706 | 2013-07-16 |
| 1255537684 | Michael J. Marcangelo | Psychiatry & Neurology | 5841 S Maryland Ave, Mc3077, Chicago, IL 60637-1447 | 2007-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174920474 | Lawrence Richards | Psychiatry & Neurology | 714 S Lynn St, Champaign, IL 61820-5817 | 2014-12-02 |
| 1124232871 | Scott Murray Davis | Psychiatry & Neurology | 141 Pierce Rd, Highland Park, IL 60035-5326 | 2007-05-10 |
| 1093939225 | Elizabeth Valencia Bernardino | Psychiatry & Neurology | 7055 Veterans Blvd, Unit C, Burr Ridge, IL 60527-5634 | 2007-04-12 |
| 1578686390 | Jaime Trujillo-gomez | Psychiatry & Neurology | 2612 Greenleaf Ave, Wilmette, IL 60091-2221 | 2007-04-08 |
| 1578725479 | Warren Kammerer Md Sc | Psychiatry & Neurology | 1440 Renaissance Dr, Suite 200, Park Ridge, IL 60068-1472 | 2008-07-01 |
| 1952517807 | Rukhsana Iqbal | Psychiatry & Neurology | 120 E Ogden Ave, Suite 236, Hinsdale, IL 60521-3542 | 2007-05-15 |
| 1245454479 | The 83rd. Professional Group | Psychiatry & Neurology | 6733 Kingery Hwy, Willowbrook, IL 60527-5142 | 2007-04-12 |
| 1316160435 | Joann Olsen | Psychiatry & Neurology | 9669 Kenton Ave Ste 209, Skokie, IL 60076-1226 | 2007-04-10 |
| 1467575969 | Arturo O Fogata | Psychiatry & Neurology | 750 S State St, Elgin, IL 60123-7612 | 2007-04-09 |
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| 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.