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Individual

MR. BRIAN LICHTENBERGER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
900 S ELMHURST RD, WHEELING, IL 60090-5507
(847) 718-7117
Mailing address
925 BLAZE TRL, WHEELING, IL 60090-5508
(847) 215-7096

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
IL

Other

Enumeration date
02/27/2006
Last updated
07/08/2007
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