Lisa H Wister, Inc

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

056007137 Issued in IL

Legal business name

LISA H WISTER, INC

Practice address

923 S Humphrey Ave
Oak Park, IL 60304-1720

Phone

(773) 230-3365

Fax

(855) 392-6998

NPI assigned

Jan 18, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lisa H Wister, OTNPI 1528216561

Title

Chief Officer

Phone

(773) 230-3365

Specialties & licenses 2

Addresses

Other names 1

• Lisa H Wister, Inc Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa H Wister, OT

  • Occupational Therapist
  • Oak Park, IL
  • NPI 1528216561
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516233600000",
    "number": "1992213417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 S HUMPHREY AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041720",
            "telephone_number": "773-230-3365",
            "fax_number": "855-392-6998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 S HUMPHREY AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041720",
            "telephone_number": "773-230-3365",
            "fax_number": "855-392-6998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA H WISTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-18",
        "last_updated": "2018-01-18",
        "status": "A",
        "authorized_official_last_name": "WISTER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CHIEF OFFICER",
        "authorized_official_telephone_number": "773-230-3365",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": "056007137",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "IL",
            "license": "056007137",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lisa H Wister, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Desiree Marie Linderman-Jareo, PSY.D.
• Kevin D Lindgren, MD
• Erickah Latreece Lindsey
• James Richard Link, D.D.S.
• Anyssa Arielle Lira
• Lisa Pearah LLC (Lisa Pearah)
• Kaitlin Lisle
• Little Steps Pediatric Therapies, Inc
• Calvin Liu, PHARMD
• Ingrid Y Liu, DO

• Pediatric Occupational Therapist in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Pediatric Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.