Healthcare Provider Details

I. General information

NPI: 1528810256
Provider Name (Legal Business Name): MIIA LIISA LEHTINEN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2024
Last Update Date: 12/23/2024
Certification Date:
Deactivation Date: 11/11/2024
Reactivation Date: 12/23/2024

III. Provider practice location address

251 EAST HURON STREET, NORTHWESTERN MEMORIAL HOSPITAL
CHICAGO IL
60611
US

IV. Provider business mailing address

SATAAKATU 11 D 21
HELSINKI FINLAND
00160
FI

V. Phone/Fax

Practice location:
  • Phone: 312-926-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number125.083257
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: