Individual
DR. MAUREEN A LILLICH
Active
Individual
DR. MAUREEN A LILLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036084518
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008852
HEALTH ALLIANCE
IL
05
—
036084518
—
IL
01
—
07215152
BLUE CROSS
IL
01
—
110068683
RAILROAD MEDICARE
IL
01
—
180607
HEALTHLINK
IL
01
—
371221637
FEDERAL TAX IDENTIFICATIO
IL
01
—
4282558
AETNA HEALTH PLANS
IL
01
—
776530
MEDICARE GROUP NUMBER
IL
01
—
IL0106
JOHN DEERE
IL
Enumeration date
06/09/2006
Last updated
05/28/2009
Update your record
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