Individual
DR. WILLIAM LISSNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25 E WASHINGTON ST, SUITE 606, CHICAGO, IL 60602-1708
(312) 444-1111
(312) 444-1953
Mailing address
25 E WASHINGTON ST, SUITE 606, CHICAGO, IL 60602-1708
(312) 444-1111
(312) 444-1953
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036-043415
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180027797
RAILROAD MEDICARE
IL
Enumeration date
06/01/2006
Last updated
07/09/2007
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