| Dr Lisa Dejuana Daniel, MD | |
|
3223 W 63rd St, Chicago, IL 60629 | |
| (773) 768-5000 | |
| (773) 778-9593 |
| Full Name | Dr Lisa Dejuana Daniel |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 3223 W 63rd St, Chicago, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982632865 | NPI | - | NPPES |
| 036111457 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 036.111457 (Illinois) | Primary |
| Entity Name | Obhg Indiana Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811232218 PECOS PAC ID: 7315185691 Enrollment ID: O20130528000323 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lisa Dejuana Daniel, MD 9119 S Exchange Ave, Chicago, IL 60617-4225 Ph: (773) 768-5000 | Dr Lisa Dejuana Daniel, MD 3223 W 63rd St, Chicago, IL 60629 Ph: (773) 768-5000 |
Elizabeth Isak, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 680 N Lake Shore Dr Ste 810, Chicago, IL 60611 Phone: 312-926-8811 Fax: 312-926-8855 | |
Malavika Kalyani Perinchery, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 5841 S Maryland Ave # Mc2050, Chicago, IL 60637 Phone: 773-834-0598 | |
Margaret C Schermerhorn, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1620 W Harrison St, Chicago, IL 60612 Phone: 312-942-5000 | |
Emily Gaffney Gleason, Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 251 E Huron St, Chicago, IL 60611 Phone: 312-926-2000 | |
Maria Teresa Tam, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2845 N Sheridan Rd, Ste 902, Chicago, IL 60657 Phone: 773-904-8641 Fax: 872-888-1206 | |
Mr. Clyde Harris Lawson, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 8234 S. Ashland Avenue, Chicago, IL 60620 Phone: 773-874-1400 Fax: 773-874-9245 | |
Rebekah Osgood, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 680 N Lake Shore Dr Ste 810, Chicago, IL 60611 Phone: 312-926-3627 Fax: 312-587-9802 |