DR. EDWARD E LISBERG MD
NPI 1972519320
Allergy & Immunology - Allergy in Chicago, IL
Active since July 31, 2006
About Dr. Edward E Lisberg Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. EDWARD E LISBERG MD (NPI 1972519320) is an individual allergy provider in Chicago, Illinois, licensed in Illinois (036067746) and active in the NPI registry since July 2006.
NPPES Registry Identity
NPI1972519320
Entity TypeIndividualMale
Primary Taxonomy207KA0200X
Provider Legal NameDR. EDWARD E LISBERGCredential: MD
Location Address1912 N LEAVITT STChicago, IL 60647-4409
Mailing Address1912 N Leavitt StChicago, IL 60647-4409 · (773) 627-8737
Phone(773) 627-8737
Sole ProprietorYes
Enumeration DateJuly 31, 2006
Last NPPES UpdateApril 22, 2020
NPPES CertifiedApril 22, 2020
✔ NPI 1972519320 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyAllergy & Immunology · AllergyAllopathic & Osteopathic Physicians
Taxonomy Code207KA0200X
License✔ Licensed in IL · 036067746
Definition
A physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee
Also ListedInternal MedicineTaxonomy 207R00000X · License 036067746 (IL)
1912 N LEAVITT ST, Chicago, IL 60647
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972519320, enumerated as an "individual" on July 31, 2006.
The provider is located at 1912 N LEAVITT ST CHICAGO, IL 60647 and the phone number is (773) 627-8737.
Allergy & Immunology with taxonomy code 207KA0200X and a focus in Allergy.
