Lee Lichtenberg, MD.,SC

Primary specialty

SpecialistTaxonomy code 174400000X

License

036054148 Issued in IL

Legal business name

LEE LICHTENBERG, MD.,SC

Practice address

302 Randall Rd
Geneva, IL 60134-4209

Phone

(630) 232-2391

Fax

(630) 232-2472

NPI assigned

Jan 2, 2007

Organization subpart

No

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

Authorized official

Name

Lee Lichtenberg, M.D.NPI 1134106008

Title

MD

Phone

(630) 232-2391

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lee Lichtenberg, MD

  • Rheumatology Physician
  • Geneva, IL
  • NPI 1134106008
  Authorized official Same address or phone
• David Giangreco, M.D.

  • Rheumatology Physician
  • Geneva, IL
  • NPI 1285861179
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375920000000",
    "number": "1962569624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 RANDALL RD",
            "address_2": "SUITE 302B",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344209",
            "telephone_number": "630-232-2391",
            "fax_number": "630-232-2472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 RANDALL RD",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344209",
            "telephone_number": "630-232-2391",
            "fax_number": "630-232-2472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE LICHTENBERG, MD.,SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2013-08-08",
        "status": "A",
        "authorized_official_last_name": "LICHTENBERG",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "630-232-2391",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036054148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036054148",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lawrence L. Johnson, M.D., S.C.
• Julie A Lawson, RN
• Dennis J. Lazzara
• Valerie Christine Leach, SLP
• Lee Advanced Breast Care LLC
• Josephine Soyoung Lee-Kim, MD
• Grace Lee, LCPC
• Jane D Lee
• Narha Lee, M.D.
• Steven V Lekah, M.D.

• Specialist in Geneva, IL
• Providers in Geneva, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; 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.