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

Lisa M Mailliard

Individual provider Gerontology Clinical Nurse Specialist · NPI 1861514820

Lisa M Mailliard is a Certified Clinical Nurse Specialist (Cns) in Chicago, Illinois. Qualified in 1994, 32 years ago. Practices with The University of Chicago Medical Center, a 909-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
32
Licensed in
IL
In the registry since
2007

Practice location Address checks out

5841 S Maryland Ave
Chicago, IL 60637-1443
Phone: (888) 824-0200
Show map & directions

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

Specialties & licences

Gerontology Clinical Nurse Specialist (primary) Taxonomy 364SG0600X · Licence 209000813 (IL)

Record details

NPI number1861514820
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 3, 2007
Last updated in NPPESOctober 24, 2022

Medicare enrollment

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

Medicare specialtyCERTIFIED CLINICAL NURSE SPECIALIST (CNS)
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice The University Of Chicago Medical Center — 909 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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