Provider Demographics
NPI:1033250659
Name:LIFSHITS, GEORGIY (DAOM,PHD,LAC)
Entity Type:Individual
Prefix:DR
First Name:GEORGIY
Middle Name:
Last Name:LIFSHITS
Suffix:
Gender:M
Credentials:DAOM,PHD,LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8019 LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60077-3611
Mailing Address - Country:US
Mailing Address - Phone:847-568-0849
Mailing Address - Fax:847-410-2123
Practice Address - Street 1:8019 LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077-3611
Practice Address - Country:US
Practice Address - Phone:847-568-0849
Practice Address - Fax:847-410-2123
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2020-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI536-055171100000X
FLAP 2087171100000X
IL198-000104171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist