DANIEL THEODORE LIS

CHICAGO, IL
NPI1043471600
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: IL  036123897)
Enumeration Date2008-06-17
Last Update Date2009-12-21
Business Address
Dr. DANIEL THEODORE LIS M.D.
836 W WELLINGTON AVE
CHICAGO, IL 60657-5147
Phone number: 773-975-1600
Mailing Address
Dr. DANIEL THEODORE LIS M.D.
655 W IRVING PARK RD APT 907
CHICAGO, IL 60613-3123
Phone number: 248-890-4955
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