Lichtenberg, Robert C
Lichtenberg, Robert C is an individual health care provider with primary practice located at 3231 Euclid Ave Suite 201, Berwyn IL 60402-3471. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Lichtenberg, Robert C can be contacted via phone (708) 783-2055.Contact Information
Primary practice address
3231 Euclid Ave Suite 201
Berwyn IL 60402-3471
Phone: (708) 783-2055
Fax: (708) 783-2181
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036068028 | Illinois |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036068028 | Illinois |
Profile Details
| NPI number | 1013972850 |
|---|---|
| LBN Legal business name | Lichtenberg, Robert C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2006 |
| Last updated | Jul 21st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013972850 | NPPES |
| Illinois | Other | 01621208 | BLUECROSS BLUE SHIELD |
| Illinois | Other | K10093 | BLUECROSS BLUE SHIELD |
| Illinois | MEDICAID | 036068028 | BLUECROSS BLUE SHIELD |
| Illinois | Other | 236551 | BLUECROSS BLUE SHIELD |
| Illinois | Other | 416810 | BLUECROSS BLUE SHIELD |
| Illinois | Other | R00334 | BLUECROSS BLUE SHIELD |
| Illinois | Other | 236550 | BLUECROSS BLUE SHIELD |
| Illinois | Other | K10092 | BLUECROSS BLUE SHIELD |
| Illinois | Other | 1508810086 | BLUECROSS BLUE SHIELD |
| Illinois | Other | CD8033 | BLUECROSS BLUE SHIELD |
| Illinois | Other | P00157668 | BLUECROSS BLUE SHIELD |
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