Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anthony David Lisuzzo, PA

Individual provider Physician Assistant · NPI 1558771543

Anthony David Lisuzzo, PA is a Physician Assistant in Libertyville, Illinois. Qualified in 2014, 12 years ago. Practices with Advocate Health and Hospitals Corporation, a 3,079-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Michigan.

Years since qualifying
12
Licensed in
IL, MI
In the registry since
2014
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

825 S Milwaukee Ave
Libertyville, IL 60048-3218
Phone: (847) 634-1766
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1900 Wealthy St Se Ste 290, Grand Rapids, MI 49506-2969 — (616) 774-8345

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085-005363 (IL)
Physician Assistant Taxonomy 363A00000X · Licence 5601010096 (MI)

Record details

NPI number1558771543
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 30, 2014
Last updated in NPPESMay 5, 2026
Certification dateMay 5, 2026
Mailing address29373 Network Pl, Chicago, IL 60673-1293

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Advocate Health And Hospitals Corporation — 3079 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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