Doctor profile · Federal record
Dr. Mary di Lisio, DMD
Dentist · Edwardsville, IL
- NPI 1710504097
- 6 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
618 Saint Louis St
Edwardsville, IL 620251504
(618) 656-7111
Credentials & registration
- NPI registered
- July 2020 — 6 yrs on file
- Specialty taxonomy
- 122300000X — NUCC code
- State license (1)
- Illinois #019032708
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1710504097. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$16
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Philips North America LLC | 1 | $15.97 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
42
Patients
35
Total drug cost
$110
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 42 | 35 | $110 |
Frequently asked questions
What is Dr. Mary di Lisio's medical specialty?
Dr. Mary di Lisio practices Dentist in Edwardsville, IL.
Where does Dr. Mary di Lisio practice?
Dr. Mary di Lisio practices at 618 Saint Louis St, Edwardsville, IL 620251504. Office phone: 6186567111.
What is Dr. Mary di Lisio's NPI?
Dr. Mary di Lisio's National Provider Identifier (NPI) is 1710504097, issued by NPPES.