MEDICARE: DR. ANUJ LAL MD

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
1	207R00000X	Internal Medicine Physician	036125904	IL

General Provider Information

NPI Number	:	1437328895
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANUJ LAL MD

Provider Business Mailing Address
First Line	:	4905 OLD ORCHARD CTR
Second Line	:	LOWR LEVEL
City	:	SKOKIE
State	:	IL
Zip	:	60077-1458
Country	:	US
Telephone Number	:	847-433-0404
Fax Number	:	847-433-1389

Provider Business Practice Location Address
First Line	:	4905 OLD ORCHARD CTR
Second Line	:	LOWR LEVEL
City	:	SKOKIE
State	:	IL
Zip	:	60077-1458
Country	:	US
Telephone Number	:	847-679-6707
Fax Number	:	847-679-6721

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/29/2008
Last Update Date	:	11/16/2016

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