Search › Illinois › 207T00000X
Roger Lichtenbaum, M.D
NPI 1760569933 · on the registry since 2006 · sole proprietor
Practice
- Address
- 836 W Wellington Ave
Chicago, IL 60657 - Phone
- (773) 975-1600
- Organisation at this address
- Vedek Inc
Endopeak Sc
Neocare Llc
Neocare Health Inc
Rada I Ivanov Md ScInferred from a shared address, not stated in the registry. - Clinicians at this address
- 431
Additional practice sites
- 1801 W. Taylor Street, Chicago, IL
- 1431 N Western Ave Ste 306, Chicago, IL
Registry record
- Primary taxonomy
- 207T00000X
207T00000X
- Also registered as
- 207T00000X
- Licence states on file
- NY, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-10-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois