Individual provider · Type 1 NPI

Melissa Lieberman

Surgical Physician Assistant · Park Ridge, IL

NPI number 1033733548 Active

Practice location

1675 Dempster St Fl 3
Park Ridge, IL 60068-1110

Mailing address

29373 Network Pl
Chicago, IL 60673-1293

Other practice locations

  • 2424 Seminole Ct, Riverwoods, IL 60015-3853 · (847) 987-2310

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Surgical Physician Assistant Primary 363AS0400X085.008424 (IL)

Surgical Physician Assistant: Definition to come...

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About NPI 1033733548

Melissa Lieberman's National Provider Identifier is 1033733548, issued on Jun 1, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Park Ridge, IL. The record was last updated on May 17, 2023.