{"npi":"1013972850","type":"NPI-1","status":"active","name":{"display":"Dr. Robert Lichtenberg M.D.","other":[],"first":"ROBERT","last":"LICHTENBERG","middle":"C","credential":"M.D."},"specialty":{"primary_taxonomy":"207RC0000X","primary_taxonomy_description":"Cardiovascular Disease","slug":"cardiology","schema_org_specialty":"Cardiovascular","all":[{"code":"207RC0000X","description":"Cardiovascular Disease","primary":true,"state":"IL","license":"036068028"},{"code":"207R00000X","description":"Internal Medicine","primary":false,"state":"IL","license":"036068028"}]},"addresses":[{"purpose":"LOCATION","street_1":"3231 EUCLID AVE","city":"BERWYN","state":"IL","postal_code":"604023471","country_code":"US","street_2":"SUITE 201","phone":"7087832055","fax":"7087832181"},{"purpose":"MAILING","street_1":"19001 OLD LAGRANGE RD","city":"MOKENA","state":"IL","postal_code":"604488012","country_code":"US","phone":"7084783600","fax":"7084783552"}],"license":{"state":"IL","number":"036068028"},"identifiers":[{"type_code":"01","label":"Other","value":"01621208","state":"IL","issuer":"BLUECROSS BLUE SHIELD"},{"type_code":"01","label":"Other","value":"K10093","state":"IL","issuer":"MEDICARE INDIVIDUAL PTAN"},{"type_code":"05","label":"Medicaid","value":"036068028","state":"IL","issuer":null},{"type_code":"01","label":"Other","value":"236551","state":"IL","issuer":"MEDICARE GROUP PTAN"},{"type_code":"01","label":"Other","value":"416810","state":"IL","issuer":"MEDICARE GROUP PTAN"},{"type_code":"01","label":"Other","value":"R00334","state":"IL","issuer":"MEDICARE INDIVIDUAL PTAN"},{"type_code":"01","label":"Other","value":"236550","state":"IL","issuer":"MEDICARE GROUP PTAN"},{"type_code":"01","label":"Other","value":"K10092","state":"IL","issuer":"MEDICARE INDIVIDUAL PTAN"},{"type_code":"01","label":"Other","value":"1508810086","state":"IL","issuer":"GROUP NPI"},{"type_code":"01","label":"Other","value":"CD8033","state":"IL","issuer":"RAILROAD MEDICARE GROUP PTAN NUMBER"},{"type_code":"01","label":"Other","value":"P00157668","state":"IL","issuer":"RAILROAD MEDICARE COOK"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20040928000452","type_code":"14-11","type_desc":"PRACTITIONER - INTERNAL MEDICINE","state":"IL","pac_id":"1951370832"}]},"enumeration_date":"2006-04-17","last_updated":"2022-07-21","_meta":{"source":"NPPES","snapshot_date":"2022-07-21","doc_url":"https://findmynpi.com/api"}}