person
Dr. Jack Lawrence Lieberman, DDS
General Practice Dentistry in Chicago, Illinois
NPI 1710940762

Jack Lawrence Lieberman is a General Practice Dentistry based in Chicago, IL and is specialized in General Practice. Jack Lawrence Lieberman practices in Chicago, IL and has the professional credentials of DDS. The NPI Number for Jack Lawrence Lieberman is 1710940762 and holds a License No. 01912631 (Illinois).

The current practice location address for Jack Lawrence Lieberman is 5400 N Milwaukee Ave, Chicago, IL and can be reached out via phone at 773-774-4121 and via fax at 773-774-4123.

Location: 5400 N Milwaukee Ave, Chicago, IL, 60630-1272
person
Provider Profile Details
NPI Number
1710940762
Provider Name
Jack Lawrence Lieberman
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
5400 N Milwaukee Ave, Chicago, IL, 60630-1272
Phone Number
773-774-4121
Fax Number
773-774-4123
Provider Enumeration Date
04/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1002718 05 IL
institution
Provider Business Practice Location Address Details
Address
5400 N Milwaukee Ave
City
State
Zip
60630-1272
Phone Number
773-774-4121
Fax Number
773-774-4123
person
Provider Business Mailing Address Details
Address
5400 N Milwaukee Ave
City
State
Zip
60630-1272
Phone Number
773-774-4121
Fax Number
773-774-4123
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
01912631 (Illinois)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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