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NPI Code Detail

MEDICARE: DR. LOUIS LIN M.D.

MEDICARE:  DR. LOUIS  LIN  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician125048962IL

General Provider Information

NPI Number : 1134373533
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LOUIS LIN M.D.
Provider Business Mailing Address
First Line : 1155 S STATE ST UNIT C605
Second Line :
City : CHICAGO
State : IL
Zip : 60605-2692
Country : US
Telephone Number : 312-695-7104
Fax Number :
Provider Business Practice Location Address
First Line : 1155 S STATE ST UNIT C605
Second Line :
City : CHICAGO
State : IL
Zip : 60605-2692
Country : US
Telephone Number : 312-695-7104
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2008
Last Update Date : 11/11/2008

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Directions to “ DR. LOUIS LIN M.D.” Practice Location

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