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NPI Code Detail

MEDICARE: DR. ALBERT C LIN M.D.

MEDICARE: DR. ALBERT C 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
1207RC0000XCardiovascular Disease Physician036090348IL
2207RC0001XClinical Cardiac Electrophysiology Physician036090348IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508820218
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALBERT C LIN M.D.
Provider Business Mailing Address
First Line : 675 N SAINT CLAIR ST STE 19-100
Second Line :
City : CHICAGO
State : IL
Zip : 60611-5969
Country : US
Telephone Number : 312-664-3278
Fax Number : 312-695-5774
Provider Business Practice Location Address
First Line : 675 N SAINT CLAIR ST STE 19-100
Second Line :
City : CHICAGO
State : IL
Zip : 60611-5969
Country : US
Telephone Number : 312-664-3278
Fax Number : 312-695-5774
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2006
Last Update Date : 03/16/2023

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Directions to “ DR. ALBERT C LIN M.D.” Practice Location

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