LISA WICHTERMAN MD
NPI 1881631075
Radiology - Diagnostic Radiology in Springfield, IL

Active since May 31, 2006
3050 MONTVALE DR STE A, SPRINGFIELD, IL 62704(217) 726-8096 Get Directions Write a Review

NPPES record last updated: August 4, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lisa Wichterman Md NPPES

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

LISA WICHTERMAN MD (NPI 1881631075) is an individual diagnostic radiology provider in Springfield, Illinois, licensed in Illinois (036065197) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1881631075
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameLISA WICHTERMANCredential: MD
Location Address3050 MONTVALE DR STE ASpringfield, IL 62704-6924
Mailing Address2040 W Iles Ave, Suite CSpringfield, IL 62704-4183 · (217) 789-0668
Sole ProprietorNo
Enumeration DateMay 31, 2006
Last NPPES UpdateAugust 4, 2015
NPI 1881631075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in IL · 036065197
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
3050 MONTVALE DR STE A, Springfield, IL 62704

Other Identifiers 3

Medicare UPIND82662
Medicaid036065197IL
Medicare ID-Type UnspecifiedP00050

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.

Radiology (Diagnostic Radiology)
3050 MONTVALE DR STE A
SPRINGFIELD, IL 62704
Radiology (Diagnostic Radiology)
3050 MONTVALE DR STE A
SPRINGFIELD, IL 62704
Radiology (Diagnostic Radiology)
3050 MONTVALE DR STE A
SPRINGFIELD, IL 62704
Radiology (Diagnostic Radiology)
3050 MONTVALE DR STE A
SPRINGFIELD, IL 62704
Radiology (Diagnostic Radiology)
3050 MONTVALE DR STE A
SPRINGFIELD, IL 62704
Radiology (Diagnostic Radiology)
3050 MONTVALE DR STE A
SPRINGFIELD, IL 62704
Radiology (Diagnostic Radiology)
3050 MONTVALE DR STE A
SPRINGFIELD, IL 62704
Radiology (Diagnostic Radiology)
3050 MONTVALE DR STE A
SPRINGFIELD, IL 62704

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 Lisa Wichterman's NPI number?

The NPI number for Lisa Wichterman is 1881631075. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Lisa Wichterman located?

Lisa Wichterman practices at 3050 Montvale Dr Ste A, Springfield, IL 62704. The listed phone number is (217) 726-8096.

What is Lisa Wichterman's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Lisa Wichterman was last updated on August 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.