MEDICARE: ALEXANDER L LIN 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	207V00000X	Obstetrics & Gynecology Physician	036085320	IL
2	207V00000X	Obstetrics & Gynecology Physician	C204366	CA

Other Identifiers

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

General Provider Information

NPI Number	:	1649208323
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDER L LIN MD

Provider Business Mailing Address
First Line	:	21202 OWENS RD STE 201
Second Line	:
City	:	MOKENA
State	:	IL
Zip	:	60448-2038
Country	:	US
Telephone Number	:	779-334-0010
Fax Number	:	779-334-0011

Provider Business Practice Location Address
First Line	:	21202 OWENS RD STE 201
Second Line	:
City	:	MOKENA
State	:	IL
Zip	:	60448-2038
Country	:	US
Telephone Number	:	779-334-0010
Fax Number	:	779-334-0011

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

Provider Enumeration Date	:	06/29/2006
Last Update Date	:	01/26/2026

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Directions to “ ALEXANDER L LIN MD” Practice Location

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