Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles Marshall Lieder, DO

Individual provider Orthopaedic Surgery Physician · NPI 1508163577

Charles Marshall Lieder, DO is an Orthopedic Surgery in Chicago, Illinois. Graduated from Lincoln Memorial University Medical Department in 2011, 15 years ago. Practices with Illinois Bone and Joint Institute, LLC, a 606-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
15
Trained at
Lincoln Memorial University Medical Department
Licensed in
IL
In the registry since
2011
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2850 S Wabash Ave Ste 100
Chicago, IL 60616-2491
Phone: (312) 842-4600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 20201 Crawford Ave, Olympia Fields, IL 60461-1010 — (708) 747-4000

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 036136846 (IL)

Record details

NPI number1508163577
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedFebruary 27, 2011
Last updated in NPPESJune 16, 2018
Mailing address5954 Eagles Way, Haslett, MI 48840-9762

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolLINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduated 2011 (15 years in practice)
Group practice Illinois Bone And Joint Institute, Llc — 606 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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