Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1235206897 Individual Practitioner Female Practitioner

Dr. Lisa Peng , MD

General Practice • Harvey, IL

Professional Overview & Biography Verified Profile Summary

Dr. Lisa Peng, MD is a registered healthcare professional specializing in General Practice in Harvey, IL. Practice services are available at 31 W 155TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

31 W 155th St

Harvey, IL 604263556

Telephone 7085965177
Fax 7083393583
Associated Practice Facility / Clinic
🏢 J And M Pharmacy Inc Facility NPI 1386686970

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Harvey, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 30.9 Yrs
Regional Practice Density
2 Specialists

Practicing in Harvey, IL (355 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-07-18
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License IL 036104558

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
036104558 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Maira Ochoa , APN

Nurse Practitioner - Family

NPI 1003303769

Advanced Practice Nurse

Mia Webster-Cross , RN, BSN

Registered Nurse - Administrator

NPI 1013406180

Registered Nurse, Bachelor of Science in Nursing

NPI 1033353792

Doctor of Osteopathic Medicine (D.O.)

Yvette Johnson , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1043608631

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Beryl Armstrong , LCPC

Counselor - Professional

NPI 1043755697

Licensed Clinical Professional Counselor

NPI 1053020107

Licensed Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2020

General Practice (License #036104558 in IL)

NPI Profile Active January 09, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location January 09, 2008

Registered at 31 W 155TH ST, HARVEY, IL 604263556 (Tel: 7085965177)

📍
Updated Business Mailing Address January 09, 2008

Registered at 31 W 155TH ST, HARVEY, IL 604263556 (Tel: 7085965177)

👤
Provider Name / Credentials Updated January 09, 2008

Recorded as LISA PENG, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2008

General Practice

🟢
Initial NPI Registration & Enumeration November 29, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1235206897
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 29, 2006
Last Update: July 18, 2024
Sole Proprietor: No

Mailing Address

31 W 155th St

Harvey, IL 604263556

Phone: 7085965177

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.