| Dr Lisa K Wright, MD | |
|
31 W 155th St, Harvey, IL 60426-3556 | |
| (708) 596-5177 | |
| (708) 339-3583 |
| Full Name | Dr Lisa K Wright |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 31 W 155th St, Harvey, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831199124 | NPI | - | NPPES |
| 036087134 | Medicaid | IL | |
| 1634171 | Other | BCBSIL GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 036087134 (Illinois) | Primary |
| Entity Name | Creek Nation Hospital & Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366593923 PECOS PAC ID: 5698786226 Enrollment ID: O20070821000130 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lisa K Wright, MD 31 W 155th St, Harvey, IL 60426-3556 Ph: (708) 596-5177 | Dr Lisa K Wright, MD 31 W 155th St, Harvey, IL 60426-3556 Ph: (708) 596-5177 |
Kristin Lucas, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 31 W 155th St, Harvey, IL 60426 Phone: 708-596-5177 Fax: 708-596-5518 | |
Dr. Shelly T Dixon, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 31 W 155th St, Harvey, IL 60426 Phone: 708-596-5177 Fax: 708-339-3523 | |
Miss Anita A. Stewart, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 121 W 154th St, Harvey, IL 60426 Phone: 708-339-6095 Fax: 708-596-2258 | |
Ms. Michelle Alissa Cunningham, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Ingalls Dr, Harvey, IL 60426 Phone: 855-826-3878 | |
Dr. Nicholas Taylor Woolf, MD, MA Pediatrics Medicare: Medicare Enrolled Practice Location: 31 W 155th St, Harvey, IL 60426 Phone: 708-596-5177 Fax: 708-596-5518 | |
Dr. Lester Hockenberry, Pediatrics Medicare: Medicare Enrolled Practice Location: 31 W 155th St, Harvey, IL 60426 Phone: 708-596-5177 Fax: 708-339-3583 | |
Dr. Denice D Cook, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 31 W 155th St, Harvey, IL 60426 Phone: 708-596-5177 Fax: 708-596-5518 |