MS. LISA MARIE MAILLIARD (NPI# 1861514820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861514820 |
| Entity Type | Individual |
| Full Name | MS. LISA MARIE MAILLIARD |
| Credential | RN APN |
| Practice Address |
5841 S Maryland Ave Mc 6098 Chicago IL 60637-1447 |
| Mailing Address |
2512 N Bosworth Ave Apt. 302 Chicago IL 60614-2081 |
| Practice Telephone | 7738342224 |
| Mailing Telephone | 7738689876 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SG0600X |
Clinical Nurse Specialist Specialization: Gerontology |
IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5841 S MARYLAND AVE MC 6098 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60637-1447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700887296 | Rita Lynn Mcgill | Internal Medicine | 5841 S Maryland Ave, Chicago, IL 60637-1447 | 2005-08-09 |
| 1447851472 | Basirat Sulaiman | Nurse Practitioner | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-11-05 |
| 1982204061 | Martha Daniela Gorski | Nurse Practitioner | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-10-28 |
| 1841807179 | Jason Bugno | Pharmacist | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-09-30 |
| 1942816798 | Emily Mancewicz | Registered Nurse | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-09-17 |
| 1841805546 | Anayeli Locascio | Nurse Practitioner | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-09-10 |
| 1336752856 | Rachel Barsella | Registered Nurse | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-08-25 |
| 1982215620 | Jennifer Risner | Registered Nurse | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-08-16 |
| 1134739857 | Moshe Bedziner | Physician Assistant | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-08-06 |
| 1427676899 | Brittney Blackwell | Registered Nurse | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263234 | Pooja Ramnani | Pharmacist | 5841 S Maryland Ace, Chicago, IL 60637 | 2020-04-10 |
| 1780220079 | Tara Coleman | Non-emergency Medical Transport (VAN) | 808 E. 63rd Street, Suite 135, Chicago, IL 60637 | 2019-11-21 |
| 1366003501 | Valerie Silas | Case Management | 6330 S King Drive, Chicago, IL 60637 | 2019-06-27 |
| 1205391620 | Derek Joseph Fiedler | Anesthesiology | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | 2019-02-11 |
| 1821573072 | Ugochinyere Ohaja | Registered Nurse | 5656 South Maryland Avenue, Chicago, IL 60637 | 2018-10-03 |
| 1053899138 | Won Hee Oh | Physician Assistant | 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 | 2018-08-01 |
| 1558854695 | Rasidat Adeduntan | Internal Medicine | 5841 S. Maryland Avenue, [7082], Chicago, IL 60637 | 2018-06-13 |
| 1194235283 | Melissa Ann Arangoa | Registered Nurse | 5841 S. Maryland Ave, Mc 1083, Chicago, IL 60637 | 2017-10-03 |
| 1558880633 | Marni Harris | Optometrist | 5841 S Maryland Ave # S421, Chicago, IL 60637 | 2017-09-11 |
| 1992235105 | Vidya Mahavadi | Pediatrics | 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 | 2017-06-20 |
| Find all providers in zip 60637 | ||||
| Taxonomy Code | 364SG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376757773 | Mary Lynne Metz | Clinical Nurse Specialist | 2515 N Clark St Ste 907, Primary Care Medical Associates, Chicago, IL 60614-2720 | 2007-05-09 |
| 1740408962 | Mary Ann Francisco | Clinical Nurse Specialist | 5841 S Maryland Ave, Chicago, IL 60637-1447 | 2007-04-23 |
| 1659491702 | Lucy Mueller | Clinical Nurse Specialist | 7101 S Exchange Ave, Chicago, IL 60649-2503 | 2007-03-30 |
| 1083790836 | Nancy Ruth Meyer | Clinical Nurse Specialist | 2545 S King Dr, Chicago, IL 60616-2441 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629614136 | Nanci H Stark | Clinical Nurse Specialist | 705 S Kensington Ave, La Grange, IL 60525-2708 | 2019-11-19 |
| 1598399693 | Kyle D. Kiesewetter | Clinical Nurse Specialist | 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 | 2020-02-27 |
| 1851864839 | Joyce Despe | Clinical Nurse Specialist | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2019-01-02 |
| 1578098265 | Melissi Lynn Cravens | Clinical Nurse Specialist | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2017-05-01 |
| 1063955375 | Shara Frankenfeld | Clinical Nurse Specialist | 3200 Grant St, Evanston, IL 60201-1903 | 2016-11-18 |
| 1700250651 | Armita Saleki-hadavand | Clinical Nurse Specialist | 100 Village Grn Ste 120b, Lincolnshire, IL 60069-3094 | 2015-11-16 |
| 1366840407 | Beverly Wendell | Clinical Nurse Specialist | 120 Spalding Dr, Suite 111, Naperville, IL 60540-6508 | 2014-12-05 |
| 1982921003 | Sonia June Lee | Clinical Nurse Specialist | 2050 Claire Ct, Glenview, IL 60025-7635 | 2010-04-28 |
| 1215122734 | Laura Luc-gorby | Clinical Nurse Specialist | 5000 S 5th Ave, Geriatrics and Extended Care Bldg 217, Hines, IL 60141-3030 | 2007-09-07 |
| 1407831399 | Sherry B Robinson | Clinical Nurse Specialist | 751 N Rutledge St, Springfield, IL 62702-4909 | 2005-12-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MS. LISA MARIE MAILLIARD.
| 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.