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DR. ROBERT C LICHTENBERG M.D. NPI 1013972850


NPI Information

NPI: 1013972850
Provider Name: DR. ROBERT C LICHTENBERG, M.D.
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

PECOS Registration: Yes

Address:
3231 EUCLID AVE
SUITE 201
BERWYN, IL
ZIP 60402
Phone: (708) 783-2055
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DR. Robert C Lichtenberg, M.D. is a cardiovascular disease internal medicine in Berwyn, IL. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Robert C Lichtenberg, M.D. NPI is 1013972850. 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:

3231 EUCLID AVE
SUITE 201
BERWYN, IL
ZIP 60402-471
Phone: (708) 783-2055
Fax: (708) 783-2181

The NPI 1013972850 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/17/2006 and was last updated on 7/21/2022.


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
1207RC0000XInternal MedicineCardiovascular Disease036068028ILLINOISYes
2207R00000XInternal Medicine036068028ILLINOISNo

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
1236550OTHERILLINOISMEDICARE GROUP PTAN
2416810OTHERILLINOISMEDICARE GROUP PTAN
3036068028MEDICAIDILLINOIS
4236551OTHERILLINOISMEDICARE GROUP PTAN
5K10093OTHERILLINOISMEDICARE INDIVIDUAL PTAN
6R00334OTHERILLINOISMEDICARE INDIVIDUAL PTAN
71508810086OTHERILLINOISGROUP NPI
8K10092OTHERILLINOISMEDICARE INDIVIDUAL PTAN
9P00157668OTHERILLINOISRAILROAD MEDICARE COOK
1001621208OTHERILLINOISBLUECROSS BLUE SHIELD
11CD8033OTHERILLINOISRAILROAD MEDICARE GROUP PTAN NUMBER

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.