Organization Active NPI

Judith Lichtenstein, MD, S.C.

  • Psychoanalyst
  • Chicago, IL
National Provider Identifier
1104068626
Registry record updated Mar 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychoanalystTaxonomy code 102L00000X
License
36055048 Issued in IL
Legal business name
JUDITH LICHTENSTEIN, MD, S.C.
Practice address
737 N Michigan Ave
#2240
Chicago, IL 60611-2615
Phone
(312) 944-1701
Fax
(312) 944-0418
NPI assigned
Mar 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Judith S. Lichtenstein, M.D.
Title
President
Phone
(312) 944-1701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychoanalystGroup: 193400000X SINGLE SPECIALTY GROUP 102L00000X 36055048 IL Primary

Addresses

Primary practice location

737 N Michigan Ave
#2240
Chicago, IL 60611-2615

Mailing address

737 N Michigan Ave
#2240
Chicago, IL 60611-2615
Phone (312) 944-1701

National Provider Directory

National Provider Directory

Locations

111 N Wabash Ave
Ste 1221
Chicago, IL 60602
Phone (312) 236-1197

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238371200000",
    "number": "1104068626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 N MICHIGAN AVE",
            "address_2": "#2240",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112615",
            "telephone_number": "312-944-1701",
            "fax_number": "312-944-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 N MICHIGAN AVE",
            "address_2": "#2240",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112615",
            "telephone_number": "312-944-1701",
            "fax_number": "312-944-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDITH LICHTENSTEIN, MD, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-30",
        "last_updated": "2009-03-30",
        "status": "A",
        "authorized_official_last_name": "LICHTENSTEIN",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-944-1701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychoanalyst",
            "state": "IL",
            "license": "36055048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.