Individual
DR. ROBERT C LICHTENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3231 EUCLID AVE, SUITE 201, BERWYN, IL 60402-3471
(708) 783-2055
(708) 783-2181
Mailing address
19001 OLD LAGRANGE RD, MOKENA, IL 60448-8012
(708) 478-3600
(708) 478-3552
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036068028
IL
207RC0000X
Cardiovascular Disease Physician
Primary
036068028
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01621208
BLUECROSS BLUE SHIELD
IL
05
—
036068028
—
IL
01
—
1508810086
GROUP NPI
IL
01
—
236550
MEDICARE GROUP PTAN
IL
01
—
236551
MEDICARE GROUP PTAN
IL
01
—
416810
MEDICARE GROUP PTAN
IL
01
—
CD8033
RAILROAD MEDICARE GROUP PTAN NUMBER
IL
01
—
K10092
MEDICARE INDIVIDUAL PTAN
IL
01
—
K10093
MEDICARE INDIVIDUAL PTAN
IL
01
—
P00157668
RAILROAD MEDICARE COOK
IL
01
—
R00334
MEDICARE INDIVIDUAL PTAN
IL
Enumeration date
04/17/2006
Last updated
07/21/2022
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