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DR. LISA GADEK MD NPI 1730116401


NPI Information

NPI: 1730116401
Provider Name: DR. LISA GADEK, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
917 SHERWOOD DR
LAKE BLUFF, IL
ZIP 60044
Phone: (847) 295-1220
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DR. Lisa Gadek, MD is a pediatrics in Lake Bluff, IL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Lisa Gadek, MD NPI is 1730116401. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

917 SHERWOOD DR
LAKE BLUFF, IL
ZIP 60044-203
Phone: (847) 295-1220
Fax: (847) 295-1255

The enumeration date for this NPI number is 6/27/2006 and was last updated on 3/20/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics36093484ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
136093484MEDICAIDILLINOIS
2G77125MEDICARE UPINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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