Liston, Michael J

Liston, Michael J is an individual health care provider with primary practice located at 12255 S 80Th Ave , Palos Heights IL 60463-1270. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Liston, Michael J can be contacted via phone (708) 923-4400.

Contact Information

Primary practice address
12255 S 80Th Ave Palos Heights IL 60463-1270
Phone: (708) 923-4400
Fax: (708) 923-4421
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036.064198 Illinois

Profile Details

NPI number 1073568796
LBN Legal business name Liston, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Nov 29th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073568796 NPPES
Illinois MEDICAID 036064198

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