Provider Demographics
NPI:1134362569
Name:SPIGELMAN, LILIAN (MD)
Entity type:Individual
Prefix:
First Name:LILIAN
Middle Name:
Last Name:SPIGELMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LILIAN
Other - Middle Name:
Other - Last Name:SPIGELMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:312 LINDEN AVE
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60302-2216
Mailing Address - Country:US
Mailing Address - Phone:708-383-6066
Mailing Address - Fax:
Practice Address - Street 1:312 LINDEN AVE
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60302-2216
Practice Address - Country:US
Practice Address - Phone:708-383-6066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-15
Last Update Date:2009-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL360460452084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry