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Lisa S Keller Od Inc
Point of Service in Litchfield, Illinois
NPI 1578889234

Lisa S Keller Od Inc is a Point of Service based in Troy, IL. Lisa S Keller Od Inc practices in Litchfield, IL. The NPI Number for Lisa S Keller Od Inc is 1578889234 and holds a License No. 046.010168 (Illinois).

The current practice location address for Lisa S Keller Od Inc is 1205 W Ferdon St, Litchfield, IL and can be reached out via phone at 217-324-5004 and via fax at 217-324-5438. You can also correspond with Lisa S Keller Od Inc through the mailing address at 508 PATTON DR, TROY, IL - 62294-3103 (mailing address contact number: 314-497-3042).

Location: 1205 W Ferdon St, Litchfield, IL, 62294-3103
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578889234
Provider Name
Lisa S Keller Od Inc
Credential
Provider Entity Type
Organization
Address
1205 W Ferdon St, Litchfield, IL, 62294-3103
Phone Number
217-324-5004
Fax Number
217-324-5438
Provider Enumeration Date
04/20/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1205 W Ferdon St
City
Litchfield
State
Illinois
Zip
62056-4454
Phone Number
217-324-5004
Fax Number
217-324-5438
person
Provider Business Mailing Address Details
Address
1205 W Ferdon St
City
Litchfield
State
Illinois
Zip
62056-4454
Phone Number
217-324-5004
Fax Number
217-324-5438
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
046.010168 (Illinois)
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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