DR. LISA J GREEN (NPI# 1114973062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114973062 |
| Entity Type | Individual |
| Full Name | DR. LISA J GREEN |
| Practice Address |
31 W 155th St Harvey IL 60426 |
| Mailing Address |
31 W 155th St Harvey IL 60426-3556 |
| Practice Telephone | 7085965177 |
| Practice Fax Number | 7083393583 |
| Mailing Telephone | 7085965177 |
| Mailing Fax Number | 7083393583 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2020-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036086707 | IL | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 036086707 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036086707 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558869529 | Lisa A Green | Nurse Practitioner | 50 Township Line Rd Bldg Suiteg01, Elkins Park, PA 19027-2249 | 2018-01-25 |
| 1316966047 | Lisa S. Green | Optometrist | 1180 N Court St Ste F, Circleville, OH 43113-1397 | 2006-07-19 |
| 1164402863 | Lisa R Green | Optometrist | 2400 Hospital Rd Bldg 3, Tuskegee, AL 36083 | 2006-01-19 |
| 1558349654 | Lisa Ann Green | Chiropractor | 1304 N University Dr, Coral Springs, FL 33071-6623 | 2006-01-09 |
| 1326678723 | Lisa Green | Case Management | 700 Cottage Brook Ln, Webster, NY 14580-8654 | 2020-01-24 |
| 1033779467 | Lisa H Green | Registered Nurse | 1102 Monroe St Sw, Huntsville, AL 35801-5029 | 2019-06-18 |
| 1558830596 | Lisa Green | Registered Nurse | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2018-11-20 |
| 1043795628 | Lisa Michelle Green | Counselor | 835 Mason St Ste B220, Dearborn, MI 48124-2262 | 2018-09-28 |
| 1306355797 | Lisa Diane Green | Nurse Practitioner | 650 W Lincoln Trail Blvd, Radcliff, KY 40160-2681 | 2017-09-28 |
| 1043739485 | Lisa Kay Green | Case Manager/Care Coordinator | 110 N Bailey Ave, North Platte, NE 69101-5436 | 2017-09-18 |
| Street Address |
31 W 155TH ST |
| City | HARVEY |
| State | IL |
| Zip Code | 60426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831199124 | Lisa K Wright | Pediatrics | 31 W 155th St, Harvey, IL 60426-3556 | 2005-07-28 |
| 1730739384 | Dawanda Davis | Counselor | 31 W 155th St, Harvey, IL 60426-3556 | 2019-09-16 |
| 1164084133 | Regina Channell Ruffin | Nurse Practitioner | 31 W 155th St, Harvey, IL 60426-3556 | 2019-06-30 |
| 1982176400 | Diana Funmilola Wells | Nurse Practitioner | 31 W 155th St, Harvey, IL 60426-3556 | 2018-12-21 |
| 1205311750 | Lashunda Denise Hill | Dental Hygienist | 31 W 155th St, Harvey, IL 60426-3556 | 2018-10-01 |
| 1013406180 | Mia Webster-cross | Registered Nurse | 31 W 155th St, Harvey, IL 60426-3556 | 2018-05-04 |
| 1538658547 | Eileen Mary Jurevis | Registered Nurse | 31 W 155th St, Harvey, IL 60426-3556 | 2018-05-04 |
| 1003303769 | Maira Ochoa | Nurse Practitioner | 31 W 155th St, Harvey, IL 60426-3556 | 2018-04-18 |
| 1043755697 | Beryl Armstrong | Counselor | 31 W 155th St, Harvey, IL 60426-3556 | 2017-01-05 |
| 1053855908 | Stephanie Liggons | Nurse Practitioner | 31 W 155th St, Harvey, IL 60426-3556 | 2016-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295377471 | Carol E Gillett | Technician | 14607 Jefferson St., Harvey, IL 60426 | 2019-10-09 |
| 1356866479 | Zzm Investments Inc | Non-emergency Medical Transport (VAN) | 16429 Halsted St, Harvey, IL 60426 | 2017-08-09 |
| 1639628225 | Scottlab, Ltd. | Clinical Medical Laboratory | 71 W 156th St Ste 206a, Harvey, IL 60426 | 2016-09-24 |
| 1043608631 | Yvette M. Johnson | Nurse Practitioner | 31 W. 155th Street, Harvey, IL 60426 | 2015-01-05 |
| 1558665539 | Phillip T Robinson | Contractor | 16001 Marshfield St, Harvey, IL 60426 | 2011-01-05 |
| 1669657466 | South Shore Behavioral Consultants | Counselor | 369 East 147th Street Suite E, Harvey, IL 60426 | 2007-12-31 |
| 1770784670 | County of Cook Harvey Public School District 152 | Local Education Agency (LEA) | 152nd Myrtle St, Harvey, IL 60426 | 2007-05-29 |
| 1518180678 | Associated Medical Center Sc | Family Medicine | 15900 So Carol Avenue, Harvey, IL 60426 | 2007-04-10 |
| 1336269133 | Cook County | Clinic/Center | 650 E Phoenix Center Dr, Phoenix, IL 60426 | 2007-03-29 |
| 1932243433 | Michael T Jones Dmd Ltd | Dentist | 15335 Page Ave, Harvey, IL 60426 | 2007-02-16 |
| Find all providers in zip 60426 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972154904 | Domonique Mccall | Family Medicine | 2252 Snowbird Dr, Harvey, LA 70058-5433 | 2019-09-20 |
| 1740634740 | Meghan Gaddis | Family Medicine | 3413 W Parc Green St, Harvey, LA 70058-7043 | 2016-04-16 |
| 1831494434 | Sola Pain Centers, LLC | Family Medicine | 1650 Gretna Blvd Ste 8, Harvey, LA 70058-5426 | 2011-01-13 |
| 1518180678 | Associated Medical Center Sc | Family Medicine | 15900 So Carol Avenue, Harvey, IL 60426 | 2007-04-10 |
| 1720156664 | Central Dakota Family Physicians, PC | Family Medicine | 922 Lincoln Ave, Harvey, ND 58341-1524 | 2006-11-30 |
| 1194736439 | Lisa Marie Lee | Family Medicine | 2000 Bradford Pl, Harvey, LA 70058-1419 | 2006-08-11 |
| 1770542003 | Michael Douglas Friley | Family Medicine | 2845 Manhattan Blvd., Harvey, LA 70058 | 2006-03-23 |
| 1285606665 | Alan R Lindemann | Family Medicine | 110 9th St E, Harvey, ND 58341-1503 | 2006-02-01 |
| 1063874410 | Eric Fernandez | Family Medicine | 3909 Lapalco Blvd, Harvey, LA 70058-2302 | 2016-03-24 |
| 1861707291 | Jerome Howard Buster | Family Medicine | 31 W 155th St, Harvey, IL 60426-3556 | 2010-08-10 |
| Find all providers in HARVEY | ||||
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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.