Individual
MELISSA LIEBERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1675 DEMPSTER ST FL 3, PARK RIDGE, IL 60068-1110
(847) 318-9330
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
085.008424
IL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/01/2020
Last updated
05/17/2023
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