LEE LICHTENBERG MD NPI 1134106008

NPI Information

NPI: 1134106008
Provider Name: LEE LICHTENBERG, MD
Classification: Internal Medicine - 207RR0500X
Entity Type: Individual

Specialization: Rheumatology

Address:
302 RANDALL RD
GENEVA, IL
ZIP 60134
Phone: (630) 232-2391
Get Directions

Lee Lichtenberg, MD is a rheumatology internal medicine in Geneva, IL. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. Lee Lichtenberg, MD NPI is 1134106008. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

302 RANDALL RD
GENEVA, IL
ZIP 60134-209
Phone: (630) 232-2391
Fax: (630) 232-2472

The enumeration date for this NPI number is 12/30/2005 and was last updated on 12/16/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RR0500X	Internal Medicine	Rheumatology	36054148	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	036054148	OTHER	ILLINOIS	MEDICAID
2	206147236	OTHER	ILLINOIS	MEDICARE PTAN (INDIVIDUAL)
3	36054148	MEDICAID	ILLINOIS
4	527490	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS
5	206147	OTHER	ILLINOIS	MEDICARE PTAN (GROUP)
6	C44846	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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