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MRS. PRISCILA LISBOA M.D.
NPI 1457971962
Pediatrics in Peoria, IL

Active since April 24, 2020
530 NE GLEN OAK AVE, POB SUITE 105, PEORIA, IL 61637(309) 624-4100(212) 939-4022 Get Directions Write a Review

NPPES record last updated: February 20, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Priscila Lisboa M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. PRISCILA LISBOA M.D. (NPI 1457971962) is an individual pediatrics provider in Peoria, Illinois, licensed in Illinois (036.164484) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1457971962
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMRS. PRISCILA LISBOACredential: M.D.
Location Address530 NE GLEN OAK AVE, POB SUITE 105Peoria, IL 61637
Mailing Address530 Ne Glen Oak AvePeoria, IL 61637-0001 · (239) 826-2306 · Fax (212) 939-4022
Phone(309) 624-4100
Fax(212) 939-4022
Sole ProprietorNo
Enumeration DateApril 24, 2020
Last NPPES UpdateFebruary 20, 2026
NPPES CertifiedFebruary 20, 2026
✔ NPI 1457971962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in IL · 036.164484✔ Licensed in FL · ME179000
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPediatrics · Neonatal-Perinatal MedicineTaxonomy 2080N0001X · License 036.164484 (IL), ME179000 (FL)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
530 NE GLEN OAK AVE, Peoria, IL 61637
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DEEPAK S NAIR M.D.
Psychiatry & Neurology (Neurology)
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
DR. HAMID MAHMOOD ZIA M.D
Pathology (Anatomic Pathology & Clinical Pathology)
530 NE GLEN OAK AVE, CENTRAL ILLINOIS PATHOLOGY SC
PEORIA, IL 61637
Peoria County (309) 624-9011
THOMAS JAMES MCMORROW MD
Pediatrics
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2553
ERIC TYLER AMPARAN MD
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2274
ALEXANDRA ROPER MD
Surgery
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
JAPMEHR KAUR SANDHU M.B.B.S.
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 624-9351
THOMAS BLACKWELL JR. MD
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
LUKE KLOFT
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2109

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Priscila Lisboa's NPI number?

The NPI number for Priscila Lisboa is 1457971962. It was assigned to this individual provider in the NPPES registry on April 24, 2020.

Where is Priscila Lisboa located?

Priscila Lisboa practices at 530 NE Glen Oak Ave Pob Suite 105, Peoria, IL 61637. The listed phone number is (309) 624-4100.

What is Priscila Lisboa's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Priscila Lisboa was last updated on February 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.