Individual
MR. ROBERT DANIEL LIPSCHUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.P
Contact information
Practice address
345 E SUPERIOR ST, ROOM 1309, CHICAGO, IL 60611-2654
(312) 238-4137
(312) 238-2081
Mailing address
345 E SUPERIOR ST, ROOM 1309, CHICAGO, IL 60611-2654
(312) 238-4137
(312) 238-2081
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
211.000105
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
211.000105
STATE OF ILLINOIS LICENSED PROSTHETIST
IL
Enumeration date
01/28/2010
Last updated
01/28/2010
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