Lichtenbaum, Roger A.
Lichtenbaum, Roger A. is an sole proprietor health care provider with primary practice located at 836 W Wellington Ave , Chicago IL 60657-5147. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Lichtenbaum, Roger A. can be contacted via phone (773) 975-1600.Contact Information
Primary practice address
836 W Wellington Ave
Chicago IL 60657-5147
Phone: (773) 975-1600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 237178 | New York |
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 036.120110 | Illinois |
Profile Details
| NPI number | 1760569933 |
|---|---|
| LBN Legal business name | Lichtenbaum, Roger A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Oct 16th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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