Jeffrey M Lieblich MD Sc

NPI #1013126614 in Highland Park, Illinois

Provider Information

NPI Number: 1013126614
Entity Type: Organization
Organization Name: Jeffrey M Lieblich MD Sc
Primary Specialty: Specialist
Enumeration Date: May 21, 2007
Last Updated: Dec 30, 2009

Practice Location

Address: 1971 2ND ST
Address 2: SUITE 100
City: Highland Park
State: Illinois
ZIP Code: 60035-3174
Phone: (847) 432-5510

Authorized Official

Name: DR. JEFFREY M LIEBLICH, M.D.,S.C.
Title: OWNER
Phone: (847) 432-5510

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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