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Lisa K Siby

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

1355 Remington Rd, Suite H, Schaumburg, IL 60173-4832

PECOS Enrollment

This provider is enrolled in PECOS as LISA SIBY.

Based on the most recent information from CMS, provider Lisa K Siby is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1033650940
Provider Type
Individual
Full Name
Siby, Lisa K
Gender
Female

Sole Proprietor
No
Enumeration Date
3/10/2017
Last Updated
3/10/2017

Contact Information

Practice Location

1355 Remington Rd, Suite H, Schaumburg, IL 60173-4832

(630) 701-9009

Unlisted Fax

Mailing Location

1355 Remington Rd, Suite H, Schaumburg, IL 60173-4832

(630) 701-9009

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 209015656 Illinois

Lisa K Siby

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Kuncheria, Mini

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Taj, Mehrunnissa

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Patel, Anita

Campos, Malina

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