Dr. Jack Lawrence Lieberman
D.D.S. | Dentist
5400 N Milwaukee Ave, Suite1ms, Chicago
Illinois, 60630-1272
773-774-4121 773-774-4123
Maps & DirectionsDr. 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 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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.