Lisa J Green (NPI# 1114973062, PAC ID# 4880606136) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1114973062 |
| PAC ID by PECOS | 4880606136 |
| Professional Enrollment ID | I20060705000026 |
| Full Name | Lisa J Green |
| Organization Legal Name | FAMILY CHRISTIAN HEALTH CENTER |
| Address |
19767 Torrence Ave Lynwood IL 60411-7624 |
| Phone Number | 7085965177 |
| Gender | F |
| Credential | DO |
| Graduation Year | 1991 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6507758612 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140191 | INGALLS MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 19767 Torrence Ave, Lynwood, IL 60411-7624 | 7085965177 | FAMILY CHRISTIAN HEALTH CENTER |
| Organization Legal Name | FAMILY CHRISTIAN HEALTH CENTER |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Johnnie Dominica Johnson | Nurse Practitioner | Family Christian Health Center | 19767 Torrence Ave, Lynwood, IL 60411-7624 |
| Laverne Monise Barnes | Family Medicine | Family Christian Health Center | 19767 Torrence Ave, Lynwood, IL 60411-7624 |
| Street Address |
19767 TORRENCE AVE |
| City | LYNWOOD |
| State | IL |
| Zip | 60411-7624 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Johnnie Dominica Johnson | Nurse Practitioner | Family Christian Health Center | 19767 Torrence Ave, Lynwood, IL 60411-7624 |
| Laverne Monise Barnes | Family Medicine | Family Christian Health Center | 19767 Torrence Ave, Lynwood, IL 60411-7624 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph M Lach | Family Medicine | Franciscan Physician Network | 211 Dixie Hwy, Chicago Heights, IL 60411-1696 |
| Vijaykumar Rao | Nephrology | Associates In Nephrology Sc | 177 W Joe Orr Rd, Chicago Heights, IL 60411-1733 |
| Dennis J Wolny | Podiatry | 275 201st St, Chicago Heights, IL 60411-1742 | |
| Frank Narcisi Jr. | Podiatry | 275 201st St, Chicago Heights, IL 60411-1742 | |
| Ronald E Greenspan | Optometry | Holmberg Optometric Ltd | 366 Dixie Hwy, Chicago Heights, IL 60411-1758 |
| Kathrine L Holmberg | Optometry | Holmberg Optometric Ltd | 366 Dixie Hwy, Chicago Heights, IL 60411-1758 |
| Nhat Nguyen | Optometry | Holmberg Optometric Ltd | 366 Dixie Hwy, Chicago Heights, IL 60411-1758 |
| Tiffany Hn Tang | Optometry | Holmberg Optometric Ltd | 366 Dixie Hwy, Chicago Heights, IL 60411-1758 |
| Yazen Joudeh | Internal Medicine | 316 Dixie Hwy, Chicago Heights, IL 60411-1770 | |
| Russell Marionno Guzzo | Chiropractic | 316 Dixie Hwy, Chicago Heights, IL 60411-1770 | |
| Find all physicians in zip 60411 | |||
| City | LYNWOOD |
| Zip Code | 60411 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LYNWOOD + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Lisa J Green.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.