Individual
DR. MICHAEL J LISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15300 WEST AVE STE 100A, ORLAND PARK, IL 60462-4600
(708) 923-4400
(708) 590-6605
Mailing address
12251 S 80TH AVE STE 1630, PALOS HEIGHTS, IL 60463-1256
(708) 923-5173
(708) 923-5018
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036.064198
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036064198
—
IL
Enumeration date
05/23/2006
Last updated
04/14/2025
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