Individual
DR. ROBERT C LICHTENBERG
Active
Individual
DR. ROBERT C LICHTENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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