Individual
LISA C POCIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9700 S CASS AVE BLDG 201, LEMONT, IL 60439-4801
(630) 252-2088
(630) 252-6615
Mailing address
6100 HILLCREST RD, DOWNERS GROVE, IL 60516-1735
(630) 252-2088
(630) 252-6615
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036109833
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036109833
—
IL
01
—
920540
MEDICARE PTAN (GROUP)
IL
01
—
920540031
MEDICARE PTAN (INDIVIDUAL)
IL
01
—
P01144139
RAILROAD MEDICARE INDIVIDUAL PTAN
IL
Enumeration date
10/12/2006
Last updated
04/18/2025
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