| Lisa Lynn Hengen, DNP, APRN, CRNP | |
|
34121 N Us Highway 45 Ste 210, Grayslake, IL 60030-1774 | |
| (224) 602-3472 | |
| (630) 358-6856 |
| Full Name | Lisa Lynn Hengen |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 34121 N Us Highway 45 Ste 210, Grayslake, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467776898 | NPI | - | NPPES |
| 1031576690009 | Medicaid | PA |
| Entity Name | Sos Recovery Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639603111 PECOS PAC ID: 2365874096 Enrollment ID: O20191118001637 |
| Entity Name | Lisalynn, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871268904 PECOS PAC ID: 8628432895 Enrollment ID: O20230907001235 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Lynn Hengen, DNP, APRN, CRNP 967 Treasure Lk, Du Bois, PA 15801-9022 Ph: () - | Lisa Lynn Hengen, DNP, APRN, CRNP 34121 N Us Highway 45 Ste 210, Grayslake, IL 60030-1774 Ph: (224) 602-3472 |
Soledad Rios, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 32908 N John Mogg Rd, Grayslake, IL 60030 Phone: 224-305-2739 | |
Maral Mjukian, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1170 E Belvidere Rd Ste 106, Grayslake, IL 60030 Phone: 847-548-7337 | |
Claire Anastos, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 312 Lionel Dr, Grayslake, IL 60030 Phone: 847-704-2280 | |
Rosa Elva Camarena, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1275 E Belvidere Rd Ste 110, Grayslake, IL 60030 Phone: 847-548-2528 Fax: 847-548-2152 | |
Cathy Gail Patilano Santos, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 580 Penny Ln, Grayslake, IL 60030 Phone: 773-988-9941 | |
Rosemarie Stefaniw-gottlieb, PMHNP-BC, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 N Atkinson Rd Ste 106, Grayslake, IL 60030 Phone: 888-211-8171 Fax: 847-316-9797 |