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NPI Code Detail

MEDICARE: MICHAEL TORRES LIZARDI MD

MEDICARE: MICHAEL TORRES LIZARDI MD
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
1207R00000XInternal Medicine Physician289690NY
2208M00000XHospitalist Physician289690NY
3207R00000XInternal Medicine Physician036.159594IL

General Provider Information

NPI Number : 1326440496
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL TORRES LIZARDI MD
Provider Business Mailing Address
First Line : 150 HARVESTER DR. STE 300
Second Line :
City : BURR RIDGE
State : IL
Zip : 60527-6686
Country : US
Telephone Number : 773-702-1150
Fax Number :
Provider Business Practice Location Address
First Line : 5841 S. MARYLAND AVENUE
Second Line : MC 6076
City : CHICAGO
State : IL
Zip : 60637-1443
Country : US
Telephone Number : 773-702-1856
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2014
Last Update Date : 05/16/2022

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