LISA J. PETERS, MD, S.C. (NPI# 1518042449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518042449 |
| Entity Type | Organization |
| Organization Name | LISA J. PETERS, MD, S.C. |
| Practice Address |
7339 Madison St Forest Park IL 60130-1543 |
| Mailing Address |
2717 N Dayton Chicago IL 60614-1409 |
| Practice Telephone | 7083862400 |
| Practice Fax Number | 7083668458 |
| Mailing Telephone | 7083862400 |
| Mailing Fax Number | 8474322174 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LISA J PETERS (PRESIDENT) |
| Authorized Official Telephone | 7083862400 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
7339 MADISON ST |
| City | FOREST PARK |
| State | IL |
| Zip Code | 60130-1543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275558983 | West Suburban Medical Center | Obstetrics & Gynecology | 7339 Madison St, Womens Health Center, Forest Park, IL 60130-1543 | 2006-07-13 |
| 1336479211 | Juliette Dols | Advanced Practice Midwife | 7339 Madison St, Forest Park, IL 60130-1543 | 2009-12-28 |
| 1396987541 | Linda Allison Graf | Advanced Practice Midwife | 7339 Madison St, Forest Park, IL 60130-1543 | 2009-04-02 |
| 1477688737 | Nancy Jeanne Derrig | Advanced Practice Midwife | 7339 Madison St, Women's Health Center, Forest Park, IL 60130-1543 | 2007-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740828227 | Amanda Ross | Social Worker | 1037 Desplaines Avenue, Unit 607, Forest Park, IL 60130 | 2019-12-16 |
| 1639733959 | Pop Pediatric Therapy Services, LLC | Occupational Therapy Assistant | Pop Pediatric Therapy, 7421 Madison Ave., Forest Park, IL 60130 | 2019-04-23 |
| 1194261776 | Emeryle D Ladd | Driver | 1117 S. Harlem, Unit 1, Forest Park, IL 60130 | 2017-01-06 |
| 1225381106 | Riveredge Hospital | Clinic/Center | 8311 W Roosevelt Road, Forest Park, IL 60130 | 2012-10-17 |
| 1033479712 | Debra L Jensen | Acupuncturist | 7314 W. Madison, Forest Park, IL 60130 | 2012-05-29 |
| 1710289327 | Platinum Dental Care | Health Maintenance Organization | 333 Circle Avenue, Forest Park, IL 60130 | 2010-12-02 |
| 1174857262 | Anwar Adams | Physical Therapy Assistant | 1029 Des Plaines Ave Apt 601, Forest Park, IL 60130 | 2009-09-23 |
| 1992939318 | Family Health Solutions,pc | Chiropractor | 315 Des Plaines Ave., Suite 307, Forest Park, IL 60130 | 2009-05-13 |
| 1235386681 | Arnold Clevs | Dentist | 334 Circle Ave, Forest Park, IL 60130 | 2008-08-27 |
| 1932376167 | Dianella V Dizon-menezes | Psychiatry & Neurology | 8311 W Roosevelt Rd, Advanced Psychiatric Services, Forest Park, IL 60130 | 2008-05-16 |
| Find all providers in zip 60130 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093363236 | Stephen A Madry Md | Plastic Surgery | 27750 W Il Route 22 Ste 230, Barrington, IL 60010-1924 | 2019-08-30 |
| 1588129928 | Rosett Plastic Surgery, LLC | Plastic Surgery | 1149 Crofton Ave N, Highland Park, IL 60035-3953 | 2019-02-08 |
| 1922572411 | Plastic Surgery Services and Equipment LLC | Plastic Surgery | 3050 Finley Rd Ste 300b, Downers Grove, IL 60515-1369 | 2019-01-17 |
| 1710487095 | Bradley Ashpole Md LLC | Plastic Surgery | 501 W Golf Rd Ste A, Schaumburg, IL 60195-3502 | 2018-02-13 |
| 1821501586 | Plastic Surgery Clinic of Chicago LLC | Plastic Surgery | 850 S Wabash Ave Ste 310, Chicago, IL 60605-3642 | 2017-11-15 |
| 1720500085 | Warner Aesthetic & Reconstructive Institute | Plastic Surgery | 570 Lincoln Ave Lowr Level4, Winnetka, IL 60093-2355 | 2017-07-08 |
| 1902258874 | Rashid Plastic Surgery, LLC | Plastic Surgery | 804 W Trailcreek Drive, Peoria, IL 61614 | 2016-07-05 |
| 1073977369 | Subramaniam Arumugam | Plastic Surgery | 13020 S Winnebago Rd, Palos Heights, IL 60463-2056 | 2016-04-12 |
| 1598123424 | Craig Bradley | Plastic Surgery | 1035 W Rundell Pl, Chicago, IL 60607-2514 | 2016-02-06 |
| 1215346325 | Damian Gress | Plastic Surgery | 943 W 14th Pl, Unit 2 B, Chicago, IL 60608-2287 | 2014-08-04 |
| Find all providers with the same taxonomy | ||||
| City | FOREST PARK |
| Zip Code | 60130 |
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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.