Organization
COMPREHENSIVE SENIOR SERVICES P.A.
Active
Organization
COMPREHENSIVE SENIOR SERVICES P.A.
Active
Other names
MARY ANN LILLIG, D.O.
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ANN LILLIG D.O. (PRESIDENT)
(816) 668-4297
Entity
Organization
Contact information
Practice address
14583 GRANADA CIR, LEAWOOD, KS 66224-3701
(816) 668-4297
(913) 239-8702
Mailing address
PO BOX 419429, KANSAS CITY, MO 64141-6429
(913) 248-9693
(913) 248-9383
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1999-135-661
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36947011
BLUE SHIELD KC, MO
MO
01
—
DD4155
RAILROAD MEDICARE
KS
Enumeration date
05/04/2006
Last updated
09/14/2007
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