| Lisa Meraz, APN | |
|
3722 Harlem Ave, Riverside, IL 60546-2312 | |
| (708) 447-4999 | |
| Not Available |
| Full Name | Lisa Meraz |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 3722 Harlem Ave, Riverside, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790323657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 041391696 (Illinois) | Primary |
| Entity Name | Advocate Health And Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
| Entity Name | Loyola University Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336159961 PECOS PAC ID: 3779488903 Enrollment ID: O20031202000027 |
| Entity Name | Loyola Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376041954 PECOS PAC ID: 6305109547 Enrollment ID: O20180420002063 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Meraz, APN 3722 Harlem Ave Ste 200, Riverside, IL 60546-2334 Ph: (708) 447-4999 | Lisa Meraz, APN 3722 Harlem Ave, Riverside, IL 60546-2312 Ph: (708) 447-4999 |
Ms. Dawne R Anderson, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 105 E Burlington St, Riverside, IL 60546 Phone: 708-745-5277 | |
Lauren Caruso, AGPCNP, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 720 Selborne Rd, Riverside, IL 60546 Phone: 708-488-0967 |