Jack Lawrence Lieberman in Chicago - General Practice
Jack Lawrence Lieberman - NPI 1710940762
Jack Lawrence Lieberman is a General Practice in Chicago, Illinois. Jack Lawrence Lieberman practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jack Lawrence Lieberman is 1710940762. The last update date is 2007-07-08.
Jack Lawrence Lieberman's current location address is 5400 N Milwaukee Ave, Chicago, Illinois. You can contact this provider via phone number 7737744121 and fax number 7737744123. The mailing address for Jack Lawrence Lieberman is 5400 N Milwaukee Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Lawrence Lieberman |
|---|---|
| Address | 5400 N Milwaukee Ave, Chicago, Illinois |
| Phone Number | 7737744121 |
| Fax Number | 7737744123 |
| Sole Proprietor | X |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1710940762 |
|---|---|
| Provider Enumeration Date | 2006-04-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5400 N Milwaukee Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606301272 |
| Phone Number | 7737744121 |
| Fax Number | 7737744123 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 1912631 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1002718 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jack Lawrence Lieberman by the Centers for Medicare & Medicaid Services?
The Jack Lawrence Lieberman has been issued the NPI (National Provider Identifier) 1710940762 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jack Lawrence Lieberman?
The Jack Lawrence Lieberman is situated at 5400 N Milwaukee Ave, in the city of Chicago, state of IL, with the zip code 606301272.
What is Jack Lawrence Lieberman's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jack Lawrence Lieberman is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
On what date did Jack Lawrence Lieberman receive its 1710940762 assignment from the Centers for Medicare & Medicaid Services?
The Jack Lawrence Lieberman was assigned its 1710940762 on 2006-04-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Jack Lawrence Lieberman most recently updated or revised?
The information pertaining to Jack Lawrence Lieberman, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.