Individual
LISA PUDUSSERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
12255 S 80TH AVE STE 205, PALOS HEIGHTS, IL 60463-1284
(708) 923-4200
(708) 923-4201
Mailing address
12255 S 80TH AVE STE 205, PALOS HEIGHTS, IL 60463-1284
(708) 923-4200
(708) 923-4201
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036135453
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-135453
—
IL
Enumeration date
08/10/2007
Last updated
03/01/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us