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JOSEPH E LISAC MD NPI 1962413344


NPI Information

NPI: 1962413344
Provider Name: JOSEPH E LISAC, MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
Address:
1221 N HIGHLAND AVE
AURORA, IL
ZIP 60506
Phone: (630) 859-8700
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Joseph E Lisac, MD is an obstetrics gynecology in Aurora, IL. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Joseph E Lisac, MD NPI is 1962413344. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1221 N HIGHLAND AVE
AURORA, IL
ZIP 60506-404
Phone: (630) 859-8700

The enumeration date for this NPI number is 8/10/2006 and was last updated on 6/28/2011.


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
1207V00000XObstetrics & Gynecology036-085322ILLINOISYes

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
1L32240MEDICARE ID-TYPE UNSPECIFIEDINDIVIDUAL MEDICARE #
2036085322MEDICAIDILLINOIS
30727500001MEDICARE NSCILLINOIS
4L53115MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
5F53059MEDICARE UPIN
6L53120MEDICARE ID-TYPE UNSPECIFIEDILLINOIS

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.