Individual
EDWARD S LICHTENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5086 N ELSTON AVE, CHICAGO, IL 60630-2427
(773) 725-0200
(773) 725-6152
Mailing address
5086 N ELSTON AVE, CHICAGO, IL 60630-2427
(773) 735-0200
(773) 725-6152
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
IL
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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