Individual
WALTER LISZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
676 N SAINT CLAIR ST STE 1600, CHICAGO, IL 60611-2997
(312) 695-8106
Mailing address
676 N SAINT CLAIR ST STE 1600, CHICAGO, IL 60611-2997
(312) 695-8106
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036.149833
IL
207N00000X
Dermatology Physician
62406
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2015
Last updated
07/29/2019
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