Lisa Wichterman in Springfield - Diagnostic Radiology
Lisa Wichterman - NPI 1881631075
Lisa Wichterman is a Diagnostic Radiology in Springfield, Illinois. Lisa Wichterman practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Lisa Wichterman is 1881631075. The last update date is 2015-08-04.
Lisa Wichterman's current location address is 2040 W Iles Ave, Springfield, Illinois. You can contact this provider via phone number 2177890668. The mailing address for Lisa Wichterman is 2040 W Iles Ave, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Wichterman |
|---|---|
| Address | 2040 W Iles Ave, Springfield, Illinois |
| Phone Number | 2177890668 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1881631075 |
|---|---|
| Provider Enumeration Date | 2006-05-31 |
| Last Updated Date | 2015-08-04 |
Provider Mailing Address Detail
| Address | 2040 W Iles Ave |
|---|---|
| City | Springfield |
| State | Illinois (IL) |
| Post Code | 627044183 |
| Phone Number | 2177890668 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 36065197 |
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Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36065197 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Lisa Wichterman by the Centers for Medicare & Medicaid Services?
The Lisa Wichterman has been assigned the NPI (National Provider Identifier) 1881631075. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Lisa Wichterman?
The Lisa Wichterman is situated at 2040 W Iles Ave, in the city of Springfield, state of IL, with the zip code 627044183.
What is the Lisa Wichterman's specialty and taxonomy code?
The Lisa Wichterman's specialty is Diagnostic Radiology, and the corresponding taxonomy code is 2085R0202X.
On what date did the Lisa Wichterman receive its 1881631075 assignment from the Centers for Medicare & Medicaid Services?
The Lisa Wichterman was assigned its 1881631075 by the Centers for Medicare & Medicaid Services on 2006-05-31.
As of what date were the details related to Lisa Wichterman most recently updated or revised?
The information pertaining to Lisa Wichterman, including its address, specialty, and other relevant details, was last updated or revised on 2015-08-04.