Dr Daniel Theodore Lis Jr, MD - Pediatrics in Chicago, IL

Dr Daniel Theodore Lis Jr, MD is a Pediatrics physician based in Chicago, Illinois. Dr Daniel Theodore Lis Jr is licensed to practice in Illinois (license number 036123897) and his current practice location is 836 W Wellington Ave, Chicago, Illinois. He can be reached at his office (for appointments etc.) via phone at (773) 975-1600.

NPI number for Dr Daniel Theodore Lis Jr is 1043471600 and his current mailing address is 655 W Irving Park Rd, Apt 907, Chicago, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043471600.

Contact Information

Dr Daniel Theodore Lis Jr, MD
836 W Wellington Ave,
Chicago, IL 60657-5147
(773) 975-1600
Not Available

Map and Direction




Physician's Profile

Full NameDr Daniel Theodore Lis Jr
GenderMale
SpecialityPediatrics
Location836 W Wellington Ave, Chicago, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1043471600
  • Provider Enumeration Date: 06/17/2008
  • Last Update Date: 12/21/2009

Medical Identifiers

Medical identifiers for Dr Daniel Theodore Lis Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043471600NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 036123897 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Daniel Theodore Lis Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Daniel Theodore Lis Jr, MD
655 W Irving Park Rd, Apt 907,
Chicago, IL 60613-3123

Ph: (248) 890-4955
Dr Daniel Theodore Lis Jr, MD
836 W Wellington Ave,
Chicago, IL 60657-5147

Ph: (773) 975-1600

Reviews and Comments


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