EDWARD S LICHTENBERG (NPI# 1427132950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427132950 |
| Entity Type | Individual |
| Full Name | EDWARD S LICHTENBERG |
| Credential | MD |
| Practice Address |
5086 N Elston Ave Chicago IL 60630-2427 |
| Practice Telephone | 7737250200 |
| Practice Fax Number | 7737256152 |
| Mailing Telephone | 7737350200 |
| Mailing Fax Number | 7737256152 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
IL | Allopathic & Osteopathic Physicians |
| Street Address |
5086 N ELSTON AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60630-2427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154654952 | Ruby Guzman Yamamoto | Physician Assistant | 5086 N Elston Ave, Chicago, IL 60630-2427 | 2009-09-10 |
| 1003085796 | Rose F. Ali | Physician Assistant | 5086 N Elston Ave, Chicago, IL 60630-2427 | 2008-02-27 |
| 1093984056 | Michelle P. Khan | Physician Assistant | 5086 N Elston Ave, Chicago, IL 60630-2427 | 2008-02-25 |
| 1396913885 | Michelle M Arnesen | Physician Assistant | 5086 N Elston Ave, Chicago, IL 60630-2427 | 2008-02-18 |
| 1154448132 | Family Planning Management Inc. | Clinic/Center | 5086 N Elston Ave, Chicago, IL 60630-2427 | 2007-03-23 |
| 1780723403 | Lopez Lewicky & Korey | Ophthalmology | 5086 N Elston Ave, Chicago, IL 60630-2427 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972116499 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 4631 W Foster Ave, Chicago, IL 60630 | 2020-08-25 |
| 1811419476 | Jill Swartzmiller | Occupational Therapist | 5248 N Liano Ave, Chicago, IL 60630 | 2017-07-14 |
| 1588193908 | Vanessa Landa | Behavior Technician | 4831 N Mobile, Chicago, IL 60630 | 2017-06-08 |
| 1851753784 | Claudia Melendez | Counselor | 4935 N Kedvale Ave., 1st Flr., Chicago, IL 60630 | 2016-03-21 |
| 1174983795 | Cheryl Ann Howe | Speech-Language Pathologist | 4714 N. Laramie Ave., Chicago, IL 60630 | 2016-02-24 |
| 1740657055 | Nihar Shah | Pharmacist | 4010 W Lawrence, Chicago, IL 60630 | 2015-08-24 |
| 1326450966 | Robert E Placzek | Dentist | 5650 W. Lawrence Ave., Chicago, IL 60630 | 2014-06-02 |
| 1730426545 | Violet Bernadet Mcguane | Nurse Practitioner | 4801 N Central, Chicago, IL 60630 | 2013-01-14 |
| 1639455231 | Jinnah A Caluag | Pharmacist | 4010 W. Lawrence, Chicago, IL 60630 | 2011-10-26 |
| 1255616256 | Marcus Kim | Pharmacist | 4010 W. Lawrence Ave, Chicago, IL 60630 | 2011-10-21 |
| Find all providers in zip 60630 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396142857 | Illinois Institute of Gynecology and Advanced Pelvic Surgery, Sc | Obstetrics & Gynecology | 1351 W Belmont Ave, Chicago, IL 60657-7195 | 2014-11-28 |
| 1477715142 | Michel Medical Assoc., S.c. | Obstetrics & Gynecology | 2600 S Michigan Ave Ste 314, Chicago, IL 60616-2860 | 2008-06-25 |
| 1477727550 | All Women's Medical Center | Obstetrics & Gynecology | 3140 W Irving Prk. Rd, Chicago, IL 60618 | 2008-04-18 |
| 1477731784 | Marianna Vardaka Md Inc | Obstetrics & Gynecology | 1087 Solutions Ctr, Chicago, IL 60677-1000 | 2008-02-08 |
| 1578747648 | Progressivecare for Women | Obstetrics & Gynecology | 676 N Saint Clair, 1800, Chicago, IL 60611 | 2007-12-24 |
| 1720273311 | Dorothy Jean Lucas | Obstetrics & Gynecology | 8346 S Rhodes Ave, 65 East 75th Street, Chicago, IL 60619-5705 | 2007-09-07 |
| 1497971931 | Helen Elizabeth Cejtin | Obstetrics & Gynecology | 1935 W Farwell Ave, Chicago, IL 60626-3102 | 2007-04-17 |
| 1699874560 | Anita Blanchard | Obstetrics & Gynecology | 5841south Maryland Avenue, Mc 2050, Chicago, IL 60637 | 2006-09-21 |
| 1356443147 | Melissa Lynn Gilliam | Obstetrics & Gynecology | 5841 S Maryland Ave # 2050, Chicago, IL 60637-1447 | 2006-09-02 |
| 1225048127 | Carlos Baldoceda | Obstetrics & Gynecology | 3407 W Fullerton Ave, Chicago, IL 60647-2497 | 2006-08-09 |
| Find all providers in CHICAGO | ||||
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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.