Individual
DR. ROGER A. LICHTENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
836 W WELLINGTON AVE, CHICAGO, IL 60657-5147
(773) 975-1600
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-0001
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
036.120110
IL
207T00000X
Neurological Surgery Physician
237178
NY
Other
Enumeration date
11/01/2006
Last updated
10/16/2023
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