Jeffrey M Lieblich Md Sc

LBN: Jeffrey M Lieblich Md Sc
Jeffrey M Lieblich Md Sc is an health care organization with primary practice located at 1971 2Nd St Suite 100, Highland Park IL 60035-3174. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Jeffrey M Lieblich Md Sc can be contacted via phone (847) 432-5510, or through Lieblich, Jeffrey M via phone (847) 432-5510.

Contact Information

Primary practice address
1971 2Nd St Suite 100 Highland Park IL 60035-3174
Phone: (847) 432-5510
Fax: (847) 432-5526
Website:
Map and Directions
Authorized official contact:
Name: Lieblich, Jeffrey M M.D.,S.C.
Phone: (847) 432-5510

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036047697 Illinois

Profile Details

NPI number 1013126614
LBN Legal business name Jeffrey M Lieblich Md Sc
DBA Doing business as
Authorized official Lieblich, Jeffrey M M.D.,S.C.
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2007
Last updated Dec 30th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013126614 NPPES
Illinois MEDICAID 036047697

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