MEDICARE: DAVID LIEB M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	036050096	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	791062505	OTHER	IL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	21607511	OTHER	IL	BLUE SHIELD

General Provider Information

NPI Number	:	1245226356
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID LIEB M.D.

Provider Business Mailing Address
First Line	:	5501 W 79TH ST
Second Line	:	SUITE 400
City	:	BURBANK
State	:	IL
Zip	:	60459-1784
Country	:	US
Telephone Number	:	773-884-4523
Fax Number	:	773-884-4580

Provider Business Practice Location Address
First Line	:	111 N WABASH AVE
Second Line	:	SUITE 2120
City	:	CHICAGO
State	:	IL
Zip	:	60602-1903
Country	:	US
Telephone Number	:	773-726-9515
Fax Number	:	312-726-1681

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/23/2005
Last Update Date	:	10/21/2014

Similar Medicare Providers

1821786120 — BRITTANY WILSON LPC
Practice Location Address:

111 N WABASH AVE STE 100
CHICAGO, IL
60602-1903

Practice Phone: 888-825-8680
Practice Fax:

1578563904 — ALLEN M PUTTERMAN M.D.
Practice Location Address:

111 N WABASH AVE , STE 1722
CHICAGO, IL
60602-1903

Practice Phone: 312-372-2256
Practice Fax: 312-372-1762

1336132620 — DR. BERTRAM KRAFT M.D.
Practice Location Address:

111 N WABASH AVE , SUITE1610
CHICAGO, IL
60602-1903

Practice Phone: 312-263-6350
Practice Fax: 312-332-6341

1164415485 — JAMES C SHEININ, M.D., LTD
Practice Location Address:

111 N WABASH AVE , 1216
CHICAGO, IL
60602-1903

Practice Phone: 312-346-1891
Practice Fax:

1467445684 — JOANNE T MARENGO PH.D.
Practice Location Address:

111 N WABASH AVE , SUITE 1204
CHICAGO, IL
60602-1903

Practice Phone: 312-782-5123
Practice Fax: 773-549-3884

1912996406 — DR. RICHARD E. NOSAL D.M.D.
Practice Location Address:

111 N WABASH AVE , SUITE 2020
CHICAGO, IL
60602-1903

Practice Phone: 312-726-8110
Practice Fax:

Directions to “ DAVID LIEB M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.