Dr. Jack Lawrence Lieberman is a Chicago, Illinois based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Jack Lawrence Lieberman is 01912631 for General Practice Dentistry in Illinois. His current practice location is 5400 N Milwaukee Ave, Suite1ms, Chicago. Patients can reach him at 773-774-4121.
Dr. Jack Lawrence Lieberman is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Jack Lawrence Lieberman speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Jack Lawrence Lieberman
Specialization:
Dentist
Gender:
Male
Credentials:
D.D.S.
Accepts Medicare Assignment:
No
Practice Address:
5400 N Milwaukee Ave, Suite1ms, Chicago, Illinois, 60630-1272
Phone:
773-774-4121
Fax:
773-774-4123
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1710940762
NPI Enumeration Date:
10 Apr, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jack Lawrence Lieberman are as mentioned below.
License Number
Specialization
State
Status
01912631
General Practice Dentistry
Illinois
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Jack Lawrence Lieberman such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1002718
Medicaid
Illinois
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
5400 N Milwaukee Ave, Suite1ms Chicago, Illinois
Zip:
60630-1272
Phone Number:
773-774-4121
Fax Number:
773-774-4123
Patients can reach Dr. Jack Lawrence Lieberman at 5400 N Milwaukee Ave, Suite1ms, Chicago, Illinois or can call to book an appointment on 773-774-4121. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.