Individual
DANIEL A LIEBERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4418 W DIVERSEY AVE, CHICAGO, IL 60639-1924
(773) 736-6800
Mailing address
4418 W DIVERSEY AVE, CHICAGO, IL 60639-1924
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046008138
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046008138
—
IL
01
—
1636706
BCBS
—
01
—
210209
GROUP MEDICARE
—
01
—
211019
GROUP MEDICARE
—
01
—
410014597
RR MEDICARE
—
01
—
7235044
AETNA
—
01
—
K15488
MEDICARE
—
01
—
K44386
MEDICARE
—
Enumeration date
08/15/2006
Last updated
06/30/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us