Lee Lichtenberg, Md.,Sc

LBN: Lee Lichtenberg, Md.,Sc
Lee Lichtenberg, Md.,Sc is an health care organization with primary practice located at 302 Randall Rd , Geneva IL 60134-4209. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Lee Lichtenberg, Md.,Sc can be contacted via phone (630) 232-2391, or through Lichtenberg, Lee via phone (630) 232-2391.

Contact Information

Primary practice address
302 Randall Rd Geneva IL 60134-4209
Fax: (630) 232-2472
Website:
Authorized official contact:
Name: Lichtenberg, Lee Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036054148 Illinois

Profile Details

NPI number 1962569624
LBN Legal business name Lee Lichtenberg, Md.,Sc
DBA Doing business as
Authorized official Lichtenberg, Lee Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 2nd, 2007
Last updated Aug 8th, 2013 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1962569624 NPPES
Illinois MEDICAID 036054148

Popular Providers