Provider Demographics
NPI:1528810256
Name:LEHTINEN, MIIA LIISA (MD)
Entity type:Individual
Prefix:MRS
First Name:MIIA
Middle Name:LIISA
Last Name:LEHTINEN
Suffix:
Gender:F
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:SATAAKATU 11 D 21
Mailing Address - Street 2:
Mailing Address - City:HELSINKI
Mailing Address - State:FINLAND
Mailing Address - Zip Code:00160
Mailing Address - Country:FI
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:251 EAST HURON STREET, NORTHWESTERN MEMORIAL HOSPITAL
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611
Practice Address - Country:US
Practice Address - Phone:312-926-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-04
Last Update Date:2024-12-23
Deactivation Date:2024-11-11
Deactivation Code:
Reactivation Date:2024-12-23
Provider Licenses
StateLicense IDTaxonomies
IL125.083257208G00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program