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

Dr. Daniel Theodore Lis Jr., MD

Individual provider Pediatrics Physician · NPI 1043471600

Dr. Daniel Theodore Lis Jr., MD is a Pediatrics Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

836 W Wellington Ave
Chicago, IL 60657-5147
Phone: (773) 975-1600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 036123897 (IL)

Record details

NPI number1043471600
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 17, 2008
Last updated in NPPESDecember 21, 2009

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