NPI 1033733548

Melissa Lieberman

Practitioner Surgical Physician Assistant Park Ridge, IL

Practice location

Address: 1675 Dempster St Fl 3, Park Ridge, IL 60068-1110
Phone: (847) 318-9330
Mailing address: 29373 Network Pl, Chicago, IL 60673-1293

Registered specialties (2)

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence 085.008424 (IL)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1033733548
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Jun 2020
Record last updated: 17 May 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.