Lisa Oldham Md Llc in Chicago - Gynecology
Lisa Oldham Md Llc - NPI 1013080613
Lisa Oldham Md Llc is a Gynecology in Chicago, Illinois. Lisa Oldham Md Llc practices all healthcare services and medical treatments related to Gynecology. The NPI Number for Lisa Oldham Md Llc is 1013080613. The last update date is 2014-05-27.
Lisa Oldham Md Llc's current location address is 1300 W Belmont Ave, Chicago, Illinois. You can contact this provider via phone number 3129420099 and fax number 7738802321. The mailing address for Lisa Oldham Md Llc is 1300 W Belmont Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lisa Oldham Md Llc |
|---|---|
| Address | 1300 W Belmont Ave, Chicago, Illinois |
| Phone Number | 3129420099 |
| Fax Number | 7738802321 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Oldham Marie Lisa |
| Credentials | MD |
| Telephone Number | 3129420099 |
NPI Number Detail
| NPI Number | 1013080613 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2014-05-27 |
Provider Mailing Address Detail
| Address | 1300 W Belmont Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606573200 |
| Phone Number | 3129420099 |
| Fax Number | 7738802321 |
Provider's Primary Taxonomy Detail
| Speciality | Gynecology |
|---|---|
| Taxonomy | 207Vg0400X |
| Licence No | 36105494 |
|
Definition: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1689636904 | IL | NPI | |
| 36105494 | IL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Lisa Oldham Md Llc?
The Lisa Oldham Md Llc has been issued the NPI (National Provider Identifier) 1013080613 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Lisa Oldham Md Llc is geographically located?
The Lisa Oldham Md Llc is physically situated at the following location: 1300 W Belmont Ave, Chicago, IL, 606573200.
What is the Lisa Oldham Md Llc's specialty and taxonomy code?
The Lisa Oldham Md Llc's specialty is Gynecology, and the corresponding taxonomy code is 207Vg0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1013080613 to Lisa Oldham Md Llc?
The Centers for Medicare & Medicaid Services originally issued the 1013080613 to Lisa Oldham Md Llc on 2006-11-15.
As of what date was the information regarding Lisa Oldham Md Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lisa Oldham Md Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-05-27.