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

Lisa Davidoff, MD

Individual provider Pediatrics Physician · NPI 1104115468

Lisa Davidoff, MD is an Internal Medicine in Deerfield, Illinois. Qualified in 2011, 15 years ago. Practices with Select Rehabilitation, LLC, a 2,028-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
15
Licensed in
IL
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

707 Lake Cook Rd Ste 122
Deerfield, IL 60015-4909
Phone: (224) 296-1520
Fax: (224) 252-6330
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 036.138311 (IL)
Pediatrics Physician Taxonomy 208000000X · Licence 036.138311 (IL)

Record details

NPI number1104115468
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 6, 2011
Last updated in NPPESDecember 21, 2022
Certification dateDecember 21, 2022
Mailing address707 Lake Cook Rd Ste 122, Deerfield, IL 60015-4909

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Select Rehabilitation, Llc — 2028 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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