Organization
LEE LICHTENBERG, MD.,SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE LICHTENBERG M.D. (MD)
(630) 232-2391
Entity
Organization
Contact information
Practice address
302 RANDALL RD, GENEVA, IL 60134-4209
(630) 232-2391
(630) 232-2472
Mailing address
302 RANDALL RD, SUITE 302B, GENEVA, IL 60134-4209
(630) 232-2391
(630) 232-2472
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036054148
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036054148
—
IL
Enumeration date
01/02/2007
Last updated
08/08/2013
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