JEFFREY M LIEBLICH MD SC (NPI# 1013126614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013126614 |
| Entity Type | Organization |
| Organization Name | JEFFREY M LIEBLICH MD SC |
| Practice Address |
1971 2nd St Suite 100 Highland Park IL 60035-3174 |
| Practice Telephone | 8474325510 |
| Practice Fax Number | 8474325526 |
| Mailing Telephone | 8474325510 |
| Mailing Fax Number | 8474325526 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2009-12-30 |
| Authorized Official Name | DR. JEFFREY M LIEBLICH (OWNER) |
| Authorized Official Telephone | 8474325510 |
| Authorized Official Credential | M.D.,S.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 036047697 | IL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036047697 | 05 |
| Street Address |
1971 2ND ST SUITE 100 |
| City | HIGHLAND PARK |
| State | IL |
| Zip Code | 60035-3174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184620916 | Jeffrey Martin Lieblich | Internal Medicine | 1971 2nd St, Suite 100, Highland Park, IL 60035-3174 | 2005-06-27 |
| 1952454647 | Eye Care Ltd | Eyewear Supplier (Equipment, not the service) | 1971 2nd St, Suite 500, Highland Park, IL 60035-3174 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140006 | Julian Jay Freeman | Internal Medicine | 1954 1st St., Suite 263, Highland Park, IL 60035 | 2019-05-22 |
| 1851838858 | Melissa Block | Lactation Consultant, Non-RN | 303 Sheridan Road, Highland Park, IL 60035 | 2017-01-27 |
| 1750838280 | Megan Hyatt | Physical Therapist | Central Parkway, Store #210, Highland Park, IL 60035 | 2016-09-01 |
| 1962865907 | Timothy C Dennis | Counselor | 1724 1st St., Nicasa, Highland Park, IL 60035 | 2016-03-29 |
| 1821458027 | Sarah Marie Pinger | Counselor | 1724 1st Street, Highland Park, IL 60035 | 2016-03-01 |
| 1508262775 | Jennifer Francis Gilbert | Social Worker | 1067 Centerfield Court, Highland Park, IL 60035 | 2014-11-14 |
| 1588070148 | Hpoms | Clinic/Center | 1893 Sheridan Rd Suite 311, Highland Park, IL 60035 | 2014-07-03 |
| 1477974152 | Mtca Psychological Services of Illinois P.C. | Psychologist | 1651 Richfield Avenue, Highland Park, IL 60035 | 2013-12-23 |
| 1760819510 | Linda Beth Greco | Social Worker | 274 Linden Park Place, Highland Park, IL 60035 | 2013-10-10 |
| 1770821373 | Eve Cooper Agin | Counselor | 1866 Sheridan Road, Suite 203, Highland Park, IL 60035 | 2013-01-17 |
| Find all providers in zip 60035 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487107108 | Jw Anesthesia Sc | Specialist | 1811 Saint Johns Ave, Highland Park, IL 60035-5607 | 2016-07-28 |
| 1790164853 | Brian Bonamarte | Specialist | 1510 Old Deerfield Rd, Suite 221, Highland Park, IL 60035-3068 | 2015-05-22 |
| 1295953222 | Robert Joseph Rothman | Specialist | 423 Red Oak Ln, Highland Park, IL 60035-4239 | 2007-04-23 |
| 1538261136 | Brian Charles Katz | Specialist | 85 Raritan Ave Suite 125, Highland Park, NJ 08904-2901 | 2006-09-02 |
| 1811919178 | Vinette Coelho D'costa | Specialist | 503 Raritan Ave, Highland Park, NJ 08904-2901 | 2006-07-24 |
| 1275553935 | Albert J. Miller | Specialist | 333 Lakeside Pl, Highland Park, IL 60035-5371 | 2006-07-19 |
| 1114957156 | Bonnie L Barsky | Specialist | 1626 Ravine Ter, Highland Park, IL 60035-3347 | 2006-07-04 |
| 1831182468 | Daniel Scott Tresley | Specialist | 500 Skokie Ave, 120, Highland Park, IL 60035-2032 | 2005-08-30 |
| 1487989083 | Julius Chucks Ajide | Specialist | 1770 1st St, Suite 703, Highland Park, IL 60035-3200 | 2009-10-15 |
| 1588820351 | Zulma Michelle Hernandez-peraza | Specialist | 757 Park Ave W, Suite 2850, Highland Park, IL 60035-2556 | 2008-07-31 |
| Find all providers in HIGHLAND PARK | ||||
| City | HIGHLAND PARK |
| Zip Code | 60035 |
Please comment or provide details below to improve the information on JEFFREY M LIEBLICH MD SC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.