IndividualActive
Edward Lisberg, MD
NPI 1972519320 · Allergy Physician · Chicago, IL
Provider details
- NPI number
- 1972519320
- Entity type
- Individual
- Primary specialty
- Allergy PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 036067746 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1912 N Leavitt St
Chicago, IL 60647-4409
Phone: (773) 627-8737
Approximate (ZIP-level) locationGet directions
Mailing address
1912 N Leavitt St
Chicago, IL 60647-4409
Registry dates
- Enumerated
- 2006-07-31
- Last updated
- 2020-04-22
- Certified
- 2020-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.