Healthcare Provider Details

I. General information

NPI: 1972544328
Provider Name (Legal Business Name): PETER A LECHMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 E HURON ST 12TH FLOOR, SUITE 130
CHICAGO IL
60611-3197
US

IV. Provider business mailing address

201 E HURON ST 12TH FLOOR, SUITE 130
CHICAGO IL
60611-3197
US

V. Phone/Fax

Practice location:
  • Phone: 312-926-7028
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: