Provider Demographics
NPI:1801914106
Name:LITOWITZ, NORMAN STANLEY (MD)
Entity type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:STANLEY
Last Name:LITOWITZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:161 EAST CHICAGO AVENUE
Mailing Address - Street 2:#46E
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-6680
Mailing Address - Country:US
Mailing Address - Phone:312-951-6310
Mailing Address - Fax:312-751-9525
Practice Address - Street 1:180 NORTH MICHIGAN AVENUE
Practice Address - Street 2:SUITE 2220
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60601-7478
Practice Address - Country:US
Practice Address - Phone:312-236-4576
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL285103TP0814X
IL36388232084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TP0814XBehavioral Health & Social Service ProvidersPsychologistPsychoanalysis
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL21604242OtherBCBS