Lieb, David

Lieb, David is an sole proprietor health care provider with primary practice located at 111 N Wabash Ave Suite 2120, Chicago IL 60602-1903. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Lieb, David can be contacted via phone (773) 726-9515.

Contact Information

Primary practice address
111 N Wabash Ave Suite 2120 Chicago IL 60602-1903
Fax: (312) 726-1681
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036050096 Illinois

Profile Details

NPI number 1245226356
LBN Legal business name Lieb, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 23rd, 2005
Last updated Oct 21st, 2014 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1245226356 NPPES
Illinois MEDICAID 036050096
Illinois Other 791062505
Illinois Other 21607511

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