MRS. LISSA E TRICE (NPI# 1609387521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609387521 |
| Entity Type | Individual |
| Full Name | MRS. LISSA E TRICE |
| Other Name | LISSA M ERICSON |
| Credential | ED.S. |
| Practice Address |
115 55th St Clarendon Hills IL 60514-1593 |
| Practice Telephone | 6308614879 |
| Mailing Telephone | 6308614879 |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2017-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
1795784 | IL | Behavioral Health & Social Service Providers |
| Street Address |
115 55TH ST |
| City | CLARENDON HILLS |
| State | IL |
| Zip Code | 60514-1593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659466522 | Ronald W. Goers | Dentist | 115 55th St, Suite 201, Clarendon Hills, IL 60514-1593 | 2006-10-04 |
| 1730309980 | Keri Johnson | Dental Hygienist | 115 55th St, Suite 201, Clarendon Hills, IL 60514-1593 | 2007-04-30 |
| 1558580142 | Veronica Robledo | Dental Hygienist | 115 55th St, Suite 201, Clarendon Hills, IL 60514-1593 | 2007-04-24 |
| 1750500443 | Bethany Micaletti | Dental Hygienist | 115 55th St, Suite 201, Clarendon Hills, IL 60514-1593 | 2007-04-24 |
| 1205053949 | Mary Beth Hastings | Dental Hygienist | 115 55th St, Suite 201, Clarendon Hills, IL 60514-1593 | 2007-04-20 |
| 1215154026 | Kimberly Kazumura | Dentist | 115 55th St, Suite 201, Clarendon Hills, IL 60514-1593 | 2007-04-20 |
| 1912124660 | John Micaletti | Dentist | 115 55th St, Suite 201, Clarendon Hills, IL 60514-1593 | 2007-04-20 |
| 1851467179 | Cmk Home Health Agency Inc | Home Health | 115 55th St, Suite 202, Clarendon Hills, IL 60514-1593 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285104844 | Michele Blidy | Occupational Therapist | 215 55th Street, Clarendon Hills, IL 60514 | 2018-11-27 |
| 1073093845 | Leah Tarabour | Speech-Language Pathologist | 49 Waverly Ave, Clarendon Hills, IL 60514 | 2018-08-20 |
| 1376022467 | Barbara Case Boules | Dietitian, Registered | 229 Park Avenue, Apt. 202, Clarendon Hills, IL 60514 | 2018-08-09 |
| 1942790647 | Weston Shelton | Chiropractor | 140 Burlington Ave, Clarendon Hills, IL 60514 | 2018-05-17 |
| 1700052834 | Donald V Maduzia O.d. P.C. | Optometrist | 203 Railroad Avenue, Clarendon Hills, IL 60514 | 2008-05-08 |
| 1134325673 | Pamela A Sirtak | Counselor | 284 Woodstock, 2c, Claredon Hills, IL 60514 | 2007-06-22 |
| 1538389531 | John Peter Wortel | Dentist | 235 Burlington Avenue, Clarendon Hills, IL 60514 | 2007-05-01 |
| 1164649778 | Jenny Scaffede | Pharmacist | 3020 S Wolf Road, Westchester, IL 60514 | 2007-04-18 |
| 1245388842 | Charles Philippou | Optometrist | 403 E Ogden, Clarendon Hills, IL 60514 | 2007-01-08 |
| 1518049626 | Donald Maduzia | Optometrist | 203 Railroad Drive, Donald Maduzia Od, Clarendon Hills, IL 60514 | 2006-10-19 |
| Find all providers in zip 60514 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679428 | Jessica Scharf | Psychologist | 8502 Bailey Rd # 63, Darien, IL 60561-5333 | 2020-11-06 |
| 1225637283 | Nicole Maggard | Psychologist | 137 Somerset Rd, Willowbrook, IL 60527-5470 | 2020-10-21 |
| 1033724232 | Shadequia Davis | Psychologist | 402 Richards St, Joliet, IL 60433-2218 | 2020-09-14 |
| 1043823123 | Lindsay Ann Franklin | Psychologist | 436 Coral Dr, Morton, IL 61550-8505 | 2020-08-28 |
| 1053923995 | Annie Biehl | Psychologist | 9750 Soreng Ave, Schiller Park, IL 60176-2105 | 2020-08-21 |
| 1811508989 | Caroline Cook | Psychologist | 246 S Fair Ave, Elmhurst, IL 60126-3600 | 2020-08-12 |
| 1760009955 | Tammy Carroll | Psychologist | 3801 Lake Ct, Trenton, IL 62293-2938 | 2020-07-03 |
| 1316568629 | Denisa Kerekes | Psychologist | 1536 Cedarwood Ct, Gurnee, IL 60031-6346 | 2020-04-28 |
| 1740801174 | Jessica Berlinghof | Psychologist | 220 Greenwood Dr, Round Lake Park, IL 60073-3444 | 2020-04-27 |
| 1861038200 | Ease of Mind Pllc | Psychologist | 10526 West Cermak Road, Suite 308aa, Westchester, IL 60154 | 2019-11-20 |
| Find all providers with the same taxonomy | ||||
| City | CLARENDON HILLS |
| Zip Code | 60514 |
Please comment or provide details below to improve the information on MRS. LISSA E TRICE.
| 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.