ROBERT LICHTENBERG, M.D.

Cardiovascular Disease Physician · BERWYN, IL

Individual Active NPI 1013972850

Medicare payment data Part B · 2022

Year	Beneficiaries	Services	Submitted	Allowed	Paid
2022	84	294	$77,941	$28,543	$20,542

Taxonomy & licensure

Specialty	Code	Primary	License	State
Cardiovascular Disease Physician	207RC0000X	✓	036068028	IL
Internal Medicine Physician	207R00000X		036068028	IL

Medicare eligibility

Part B: Yes
DME: Yes
Home health: Yes
Power mobility: Yes
Hospice: Yes

At a glance

NPI: 1013972850
Entity type: Individual
Gender: Male
Sole proprietor: No
Enumerated: 2006-04-17
Last updated (NPPES): 2022-07-21

Location

Practice address: 3231 EUCLID AVE, SUITE 201, BERWYN, IL, 604023471
Phone: 7087832055
Mailing address: 19001 OLD LAGRANGE RD, MOKENA, IL, 604488012

Additional locations

3722 Harlem Ave Ste Ll34, Riverside, IL, 605462320

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Other identifiers

01621208 — BLUECROSS BLUE SHIELD (IL)
K10093 — MEDICARE INDIVIDUAL PTAN (IL)
036068028 (IL)
236551 — MEDICARE GROUP PTAN (IL)
416810 — MEDICARE GROUP PTAN (IL)
R00334 — MEDICARE INDIVIDUAL PTAN (IL)
236550 — MEDICARE GROUP PTAN (IL)
K10092 — MEDICARE INDIVIDUAL PTAN (IL)
1508810086 — GROUP NPI (IL)
CD8033 — RAILROAD MEDICARE GROUP PTAN NUMBER (IL)
P00157668 — RAILROAD MEDICARE COOK (IL)

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.