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Contact Information

LISA C ILLIG, MD
6500 EXCELSIOR BLVD
SAINT LOUIS PARK, MN55426-4702
 Phone: 952-993-0121
 Fax: 952-993-1456
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice and Palliative Medicine

207RH0002X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for LISA C ILLIG · (Female)

NPI # 1235177932
Status Active
Credentials MD
Entity Individual
Enumeration date 06/03/2006
Last updated 10/13/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 52246
  • VA Medicaid 00554641
  • VA Medicaid 005884641
  • VA Medicaid 278633
  • VA Medicaid 64758
  • VA Other 278633 ANTHEM SVCS/HEALTHKEEPERS
  • VA Other 2959204001 CIGNA
  • VA Other 64758 COMMUNITY HEALTH
  • VA Other P00074226 MEDICARE PIN
  • VA Other 209808 SOUTHERN HEALTH
Hospital affiliation(s)
  • PARK NICOLLET METHODIST HOSPITAL - (Acute Care)
    6500 EXCELSIOR BLVD
    SAINT LOUIS PARK, MN 55426
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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