Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA J PETERS, MD
ActiveLISA J PETERS, MD is a Plastic Surgery healthcare provider located in FOREST PARK, Illinois. NPI 1710923164 is currently active in the NPPES registry. Verify at CMS.
Plastic Surgery · FOREST PARK, IL
Registration Details
- NPI Number
- 1710923164
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 22, 2006 (20.155636265547 yrs)
- Last Updated
- Aug 30, 2023
- License
-
036107308 (IL)
Practice Information
- Address
-
7236 MADISON STFOREST PARK, IL, 601301765Browse IL providers · Browse ZIP 60130
- Phone
- 7085241400
- Fax
- 7085241441
- Primary Specialty
-
Plastic Surgery
208200000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.