Individual
DR. ROBERT HOWARD LISTERNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2300 CHILDRENS PLAZA, DIVISION OF GENERAL ACADEMIC PEDIATRICS CHILDRENS MEMOR, CHICAGO, IL 60614
(773) 880-3832
(773) 281-4237
Mailing address
2300 CHILDRENS PLAZA, BOX 16 DIVISION OF GENERAL ACADEMIC PEDIATRICS, CHICAGO, IL 60614
(773) 880-3832
(773) 281-4237
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036062085
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036062085
—
IL
Enumeration date
03/10/2006
Last updated
09/14/2011
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