Provider Demographics
NPI:1972620904
Name:FAMILY PLANNING ASSOCIATES MEDICAL GROUP LTD.
Entity type:Organization
Organization Name:FAMILY PLANNING ASSOCIATES MEDICAL GROUP LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:STEVE
Authorized Official - Last Name:LICHTENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:312-707-8988
Mailing Address - Street 1:659 W. WASHINGTON BLVD.
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60661-2118
Mailing Address - Country:US
Mailing Address - Phone:312-707-8988
Mailing Address - Fax:312-707-9223
Practice Address - Street 1:659 W. WASHINGTON BLVD.
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60661-2118
Practice Address - Country:US
Practice Address - Phone:312-707-8988
Practice Address - Fax:312-707-9223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2018-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL042007017036076973174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty