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Individual

DR. EDWARD E LISBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1912 N LEAVITT ST, CHICAGO, IL 60647-4409
(773) 627-8737
Mailing address
1912 N LEAVITT ST, CHICAGO, IL 60647-4409
(773) 627-8737

Taxonomy

Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
036067746
IL
207R00000X
Internal Medicine Physician
036067746
IL

Other

Enumeration date
07/31/2006
Last updated
04/22/2020
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