| Ernst Lisek Iv, MD | |
|
25 N Winfield Road, Ste 405, Dept Of Urology, Winfield, IL 60190 | |
| (630) 790-1221 | |
| Not Available |
| Full Name | Ernst Lisek Iv |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 25 N Winfield Road, Winfield, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437126315 | NPI | - | NPPES |
| 036097188 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 036097188 (Illinois) | Primary |
| Entity Name | United Shockwave Services Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497132377 PECOS PAC ID: 8729984448 Enrollment ID: O20031211000738 |
| Mailing Address | Practice Location Address |
|---|---|
| Ernst Lisek Iv, MD 1860 Paysphere Cir, Chicago, IL 60674-0018 Ph: (630) 469-9200 | Ernst Lisek Iv, MD 25 N Winfield Road, Ste 405, Dept Of Urology, Winfield, IL 60190 Ph: (630) 790-1221 |
Dr. John G Christensen Jr., MD Urology Medicare: Accepting Medicare Assignments Practice Location: 0s036 Church St Ste 300, Winfield, IL 60190 Phone: 331-732-4600 Fax: 331-732-4602 | |
Dr. Joseph Oh, MD Urology Medicare: Medicare Enrolled Practice Location: 25 N Winfield Rd, Ste 405, Winfield, IL 60190 Phone: 630-790-1221 | |
Craig A Smith, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 25 N Winfield Rd, Ste 405, Winfield, IL 60190 Phone: 630-790-1221 | |
Matthew Sloan, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 0s036 Church St Ste 300, Winfield, IL 60190 Phone: 331-732-4600 Fax: 331-732-4602 | |
Jean Ung, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 25 N Winfield Rd, Ste 405, Winfield, IL 60190 Phone: 630-790-1221 | |
Tanya Watts Kristof, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 0s036 Church St Ste 300, Winfield, IL 60190 Phone: 331-732-4600 Fax: 331-732-4602 |