Jeffrey Martin Lieblich, M.D.

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

036047697 Issued in IL

Practice address

1971 2ND St
Suite 100
Highland Park, IL 60035-3174

Phone

(847) 432-5510

Fax

(847) 432-5526

NPI assigned

Jun 27, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jeffrey M Lieblich MD SC

  • Specialist
  • Highland Park, IL
  • NPI 1013126614
  Authorized official Same address or phone

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262131200000",
    "number": "1184620916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1971 2ND ST",
            "address_2": "SUITE 100",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353174",
            "telephone_number": "847-432-5510",
            "fax_number": "847-432-5526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1971 2ND ST",
            "address_2": "SUITE 100",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353174",
            "telephone_number": "847-432-5510",
            "fax_number": "847-432-5526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBLICH",
        "first_name": "JEFFREY",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2009-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IL",
            "license": "036047697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell David Liberman, PH.D.
• Karen Libich, M.A.
• Holly Sue Lichtman, LCSW
• Elliot Daniel Lieberman, M.D.
• Anna K. Lieblich, M.S.W.
• Light & Anchor Counseling, LLC
• Deborah S. Lim, M.D.
• Lincoln Center for Clinical Services, LTD
• Margaret Lindholm, D.D.S.
• Lindsay Emalfarb Limited LLC

• Endocrinology, Diabetes & Metabolism Physician in Highland Park, IL
• Providers in Highland Park, IL by specialty
• Endocrinology, Diabetes & Metabolism Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.