Dr. Robert C Lichtenberg
Internist Internist - Cardiovascular Disease
3231 Euclid Ave Suite 201
Berwyn
, Illinois 60402-3471
Dr. Robert C Lichtenberg
Internist Internist - Cardiovascular Disease
3231 Euclid Ave Suite 201
Berwyn
, Illinois 60402-3471
(708) 478-3552
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About
Features
Specialties
- Internist
- Internist - Cardiovascular Disease
Languages spoken
- English
Location
First Address
- Dr. Robert C Lichtenberg
- 19001 Old Lagrange Rd
- Mokena, IL
- Zip : 60448-8012
- Fax : (708) 478-3552
- Phone : (708) 478-3600
Second Address
- Dr. Robert C Lichtenberg
- 3231 Euclid Ave Suite 201
- Berwyn, IL
- Zip : 60402-3471
- Fax : (708) 783-2181
- Phone : (708) 783-2055
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FAQs
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Is Dr. Robert C Lichtenberg a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 036068028 | IL |
| N | 111NI0900X | Internist | 036068028 | IL |
| Y | 207RC0000X | Internist - Cardiovascular Disease | 036068028 | IL |
National Provider Identifier
| NPI | 1013972850 |
|---|---|
| Provider Name | Dr. Robert C Lichtenberg |
| First Address | Mokena, IL 60448-8012 |
| Second Address | Berwyn, IL 60402-3471 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/04/2006 |
| Last Update Date | 17/03/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01621208 | BLUECROSS BLUE SHIELD (01) | IL |
| 036068028 | (05) | IL |
| 1508810086 | GROUP NPI (01) | IL |
| 236550 | MEDICARE GROUP PTAN (01) | IL |
| 236551 | MEDICARE GROUP PTAN (01) | IL |
| 416810 | MEDICARE GROUP PTAN (01) | IL |
| CD8033 | RAILROAD MEDICARE GROUP PTAN NUMBER (01) | IL |
| E18618 | (02) | |
| K10092 | MEDICARE INDIVIDUAL PTAN (01) | IL |
| K10093 | MEDICARE INDIVIDUAL PTAN (01) | IL |
| P00157668 | RAILROAD MEDICARE COOK (01) | IL |
| R00334 | MEDICARE INDIVIDUAL PTAN (01) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.