DR. ELLIOT DANIEL LIEBERMAN (NPI# 1245472455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245472455 |
| Entity Type | Individual |
| Full Name | DR. ELLIOT DANIEL LIEBERMAN |
| Credential | M.D. |
| Practice Address |
1160 Park Ave W Suite 4n Highland Park IL 60035-2230 |
| Practice Telephone | 8474335555 |
| Practice Fax Number | 8474339148 |
| Mailing Telephone | 8474335555 |
| Mailing Fax Number | 8474339148 |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2014-06-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 036.134151 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
1160 PARK AVE W SUITE 4N |
| City | HIGHLAND PARK |
| State | IL |
| Zip Code | 60035-2230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720076821 | Jill B. Meltzer | Audiologist | 1160 Park Ave W, 4 South, Highland Park, IL 60035-2271 | 2005-10-12 |
| 1578991428 | Consultants In Allergy & Asthma Care, LLC | Allergy & Immunology | 1160 Park Ave W, Suite 3 South, Highland Park, IL 60035-2230 | 2013-10-30 |
| 1154679934 | Kristine Marie Trester | Audiologist | 1160 Park Ave W, Suite 4 South, Highland Park, IL 60035-2230 | 2012-08-27 |
| 1437461027 | Jason Bohm Waldinger | Dermatology | 1160 Park Ave W, Suite 1n, Highland Park, IL 60035-2230 | 2010-07-12 |
| 1275775553 | Jeffrey J Glass Mdsc | Internal Medicine | 1160 Park Ave W, Suite 3n, Highland Park, IL 60035-2230 | 2009-04-01 |
| 1306050943 | Highland Park Pediatric Associates | Pediatrics | 1160 Park Ave W, Suite 3e, Highland Park, IL 60035-2230 | 2007-05-10 |
| 1053482414 | Mengyu Tsai | Dentist | 1160 Park Ave W, Suite 6e, Highland Park, IL 60035-2230 | 2006-11-09 |
| 1760564991 | Toni L Damore | Dental Hygienist | 1160 Park Ave W, Suite 6e, Highland Park, IL 60035-2230 | 2006-10-19 |
| 1720160948 | Dean M Schacht | Dentist | 1160 Park Ave W, Suite 6e, Highland Park, IL 60035-2230 | 2006-10-19 |
| 1144243163 | North Shore Audiovestibular Lab Inc | Audiologist | 1160 Park Ave W, Suite 4 South, Highland Park, IL 60035-2271 | 2006-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140006 | Julian Jay Freeman | Internal Medicine | 1954 1st St., Suite 263, Highland Park, IL 60035 | 2019-05-22 |
| 1851838858 | Melissa Block | Lactation Consultant, Non-RN | 303 Sheridan Road, Highland Park, IL 60035 | 2017-01-27 |
| 1750838280 | Megan Hyatt | Physical Therapist | Central Parkway, Store #210, Highland Park, IL 60035 | 2016-09-01 |
| 1962865907 | Timothy C Dennis | Counselor | 1724 1st St., Nicasa, Highland Park, IL 60035 | 2016-03-29 |
| 1821458027 | Sarah Marie Pinger | Counselor | 1724 1st Street, Highland Park, IL 60035 | 2016-03-01 |
| 1508262775 | Jennifer Francis Gilbert | Social Worker | 1067 Centerfield Court, Highland Park, IL 60035 | 2014-11-14 |
| 1588070148 | Hpoms | Clinic/Center | 1893 Sheridan Rd Suite 311, Highland Park, IL 60035 | 2014-07-03 |
| 1477974152 | Mtca Psychological Services of Illinois P.C. | Psychologist | 1651 Richfield Avenue, Highland Park, IL 60035 | 2013-12-23 |
| 1760819510 | Linda Beth Greco | Social Worker | 274 Linden Park Place, Highland Park, IL 60035 | 2013-10-10 |
| 1770821373 | Eve Cooper Agin | Counselor | 1866 Sheridan Road, Suite 203, Highland Park, IL 60035 | 2013-01-17 |
| Find all providers in zip 60035 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912181298 | Jodi Dawn Zuckerman | Otolaryngology | 1160 Park Ave W Ste 4n, Highland Park, IL 60035-2271 | 2007-12-22 |
| 1558384578 | North Shore Ear Nose & Throat Assoc Ltd | Otolaryngology | 1160 Park Ave W, 4 North, Highland Park, IL 60035-2271 | 2006-07-25 |
| 1841278298 | Neil Aaronson | Otolaryngology | 1160 Park Ave W, 4 North, Highland Park, IL 60035-2230 | 2006-01-05 |
| 1477531820 | Joseph Mishell | Otolaryngology | 1160 Park Ave W, 4 North, Highland Park, IL 60035-2271 | 2006-01-05 |
| 1376521732 | Ari Taitz | Otolaryngology | 1160 Park Ave W, 4 North, Highland Park, IL 60035-2271 | 2006-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841838109 | Ryan C. Vaughn, Md Pllc | Otolaryngology | 1900 E Golf Rd Ste L125, Schaumburg, IL 60173-5831 | 2019-12-18 |
| 1265074934 | Toriumi Facial Plastics Pllc | Otolaryngology | 60 E Delaware Pl Ste 1425, Chicago, IL 60611-1998 | 2019-10-14 |
| 1184281735 | Advanced Ear Nose & Throat Specialists, Pllc | Otolaryngology | 925 N Milwaukee Ave Unit 200, Vernon Hills, IL 60061-1637 | 2019-05-20 |
| 1780144402 | Veronica Maria Drozdowski | Otolaryngology | 2160 S 1st Ave Rm 1870, Maywood, IL 60153-3328 | 2019-03-20 |
| 1205395019 | Brian Yuhan | Otolaryngology | 2160 S 1st Ave Bldg 105, Maywood, IL 60153-3328 | 2019-03-19 |
| 1285100529 | Lauren E Lesniewski | Otolaryngology | 680 N Lake Shore Dr Ste 1210, Chicago, IL 60611-4490 | 2018-10-14 |
| 1982100525 | Muyinat Yewande Osoba | Otolaryngology | 675 N. Saint Clair St, Galter Pavilion, 15th Floor, Room 200, Chicago, IL 60611-5975 | 2018-04-03 |
| 1851811343 | Peter S Dumich | Otolaryngology | 2609 S Nottingham Ct, Champaign, IL 61821-6182 | 2017-06-26 |
| 1104354414 | Sara M. Wing | Otolaryngology | 301 N 8th St Ste 5b, Springfield, IL 62701-1041 | 2017-05-31 |
| 1750734778 | Darius Bliznikas Md Sc | Otolaryngology | 7110 W 127th St Ste 210, Palos Heights, IL 60463-1580 | 2016-07-14 |
| Find all providers with the same taxonomy | ||||
| City | HIGHLAND PARK |
| Zip Code | 60035 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.