Individual
LISA R. EMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2304 STERN DR, BLOOMINGTON, IL 61704-4406
(309) 663-0411
(309) 662-2018
Mailing address
2304 STERN DR, BLOOMINGTON, IL 61704-4406
(309) 663-0411
(309) 662-2018
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036-115642
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036115642
—
IL
01
—
216064
MEDICARE GROUP #
IL
01
—
IL2613
MEDICARE GROUP #
—
Enumeration date
07/21/2006
Last updated
11/12/2014
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