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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