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Lisa Peng, MD
General Practice Physician in Harvey, Illinois
NPI 1235206897

Lisa Peng is a General Practice Physician based in Harvey, IL. Lisa Peng practices in Harvey, IL and has the professional credentials of MD. The NPI Number for Lisa Peng is 1235206897 and holds a License No. 036104558 (Illinois).

The current practice location address for Lisa Peng is 31 W 155Th St, Harvey, IL and can be reached out via phone at 708-596-5177 and via fax at 708-339-3583.

Location: 31 W 155Th St, Harvey, IL, 60426-3556
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235206897
Provider Name
Lisa Peng
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
31 W 155Th St, Harvey, IL, 60426-3556
Phone Number
708-596-5177
Fax Number
708-339-3583
Provider Enumeration Date
11/29/2006
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036104558 05 IL
institution
Provider Business Practice Location Address Details
Address
31 W 155Th St
City
Harvey
State
Illinois
Zip
60426-3556
Phone Number
708-596-5177
Fax Number
708-339-3583
person
Provider Business Mailing Address Details
Address
31 W 155Th St
City
Harvey
State
Illinois
Zip
60426-3556
Phone Number
708-596-5177
Fax Number
708-339-3583
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
036104558 (Illinois)
Definition
Definition to come...
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