ERNST LISEK IV (NPI# 1437126315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437126315 |
| Entity Type | Individual |
| Full Name | ERNST LISEK IV |
| Credential | MD |
| Practice Address |
25 N Winfield Road Ste 405, Dept of Urology Winfield IL 60190 |
| Mailing Address |
1860 Paysphere Cir Chicago IL 60674-0018 |
| Practice Telephone | 6307901221 |
| Mailing Telephone | 6304699200 |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2011-03-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 036097188 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036097188 | 05 |
| Street Address |
25 N WINFIELD ROAD STE 405, DEPT OF UROLOGY |
| City | WINFIELD |
| State | IL |
| Zip Code | 60190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073514360 | Thomas A. Eiseman | Emergency Medicine | 25 N Winfield Road, Winfield, IL 60190 | 2005-08-09 |
| 1750813580 | Ingrid Kanady | Nurse Practitioner | 25 N Winfield Road, Winfield, IL 60190-1295 | 2017-03-30 |
| 1447647201 | Sarah Liljeberg | Nurse Practitioner | 25 N Winfield Road, Ste 420, Winfield, IL 60190-1295 | 2015-04-20 |
| 1174878896 | Kristin Lynn Rosenberger | Physical Therapist | 25 N Winfield Road, Winfield, IL 60190-1295 | 2012-07-18 |
| 1831463975 | Central Dupage Hospital | General Acute Care Hospital | 25 N Winfield Road, Winfield, IL 60190 | 2012-03-07 |
| 1841587599 | Brian Christopher Fort | Emergency Medicine | 25 N Winfield Road, Winfield, IL 60190 | 2011-07-01 |
| 1174821201 | Andrea Fuller | Nurse Practitioner | 25 N Winfield Road, Winfield, IL 60190 | 2011-03-15 |
| 1790017085 | Lee Michael De Dore | Physician Assistant | 25 N Winfield Road, Suite 505, Winfield, IL 60190 | 2010-02-11 |
| 1871823971 | Jennifer Aileen Chiaramonte | Speech-Language Pathologist | 25 N Winfield Road, Winfield, IL 60190 | 2010-01-12 |
| 1194981019 | Joshua A Blomgren | Family Medicine | 25 N Winfield Road, Winfield, IL 60190-1295 | 2008-07-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316592256 | Kelly Marie Jung | Nurse Practitioner | 25 N Winfield Rd Ste 500, Winfield, IL 60190 | 2019-08-07 |
| 1003379660 | Genevieve Goro | Speech-Language Pathologist | In220 Pleasant Hill Rd, Winfield, IL 60190 | 2019-04-10 |
| 1730670175 | Brian J Fischer | Physical Therapist | 26w228 Geneva Road, Winfield, IL 60190 | 2018-05-22 |
| 1730625500 | Johnson Medical Services S.c. | Family Medicine | 27 W 132 Barnes Ave/, Winfield, IL 60190 | 2017-01-17 |
| 1992253843 | Dr. Roy Settergren S.c. | Chiropractor | 27w123 Redbud Lane, Winfield, IL 60190 | 2016-09-20 |
| 1952855223 | Terri Hannemann | Nurse Practitioner | 25 North Winfield Road, Central Dupage Hospital, Winfield, IL 60190 | 2016-08-04 |
| 1154730737 | Cynthia Koeppen | Registered Nurse | 27w281 Winfield Rd, Winfield, IL 60190 | 2014-08-07 |
| 1992117634 | Jonathan Wang | Internal Medicine | 25 N Winfield Rd Ste 202, Winfield, IL 60190 | 2014-05-29 |
| 1689005977 | Erin Sands | Physician Assistant | 25 N Winfield Rd Ste 519, Winfield, IL 60190 | 2013-12-11 |
| 1790120285 | Clarity Health & Wellness | Social Worker | 1 N. 121 County Farm Road, Suite 220, Winfield, IL 60190 | 2013-05-09 |
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| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104060110 | Cameron Jirschele | Urology | 25 N Winfield Rd, 405, Winfield, IL 60190 | 2009-04-22 |
| 1437324084 | Amit Raman Patel | Urology | 25 N Winfield Rd, Ste 405, Winfield, IL 60190 | 2008-04-24 |
| 1225086663 | Joseph Oh | Urology | 25 N Winfield Rd, Ste 405, Winfield, IL 60190 | 2006-05-05 |
| 1316908312 | Jean Ung | Urology | 25 N Winfield Rd, Ste 405, Winfield, IL 60190 | 2006-03-29 |
| 1225098031 | Craig A Smith | Urology | 25 N Winfield Rd, Ste 405, Winfield, IL 60190 | 2006-03-24 |
| 1679541643 | Paul Merrick | Urology | 25 N Winfield Rd, Ste 405, Winfield, IL 60190 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699236612 | Behdod Katebian | Urology | 5841 S Maryland Ave Rm J-653, Chicago, IL 60637-1443 | 2019-03-31 |
| 1912436015 | Robert Ara Petrossian | Urology | 301 N 8th St # 4b143c, Springfield, IL 62701-1041 | 2017-06-12 |
| 1134657026 | Soojin Kim | Urology | 225 E. Chicago Avenue, Box 24, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL 60611 | 2017-05-23 |
| 1619337912 | George Robert Buckun | Urology | 930 Rogers St., #301, Downers Grove, IL 60515 | 2016-02-29 |
| 1275991606 | Nicole Alyssa Hamilton | Urology | 22285 N Pepper Rd Ste 201, Lake Barrington, IL 60010-2540 | 2016-01-30 |
| 1790164002 | Shay Golan | Urology | 5841 S Maryland Ave Mc6038, Chicago, IL 60637-1447 | 2015-05-20 |
| 1528453594 | Christopher Stockdale | Urology | 300 W Hill St Apt 707, Chicago, IL 60610-7537 | 2015-04-06 |
| 1639568447 | Jeremy Lai | Urology | 420 E Superior St Ste 9-900, Chicago, IL 60611-4494 | 2015-01-16 |
| 1386053759 | Ramiro Felix Prudencio | Urology | 1200 Broadmeadow Rd, Winnetka, IL 60093-3707 | 2014-08-10 |
| 1174933048 | Kyle John Ericson | Urology | 924 E 57th St, Suite 104, Chicago, IL 60637-1455 | 2014-05-01 |
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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.