Healthcare Provider Details

I. General information

NPI: 1346429743
Provider Name (Legal Business Name): SYLVIA LAM MD SC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2007
Last Update Date: 03/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 W HIGGINS RD STE 1100
HOFFMAN ESTATES IL
60169-2050
US

IV. Provider business mailing address

2500 W HIGGINS RD STE 1100
HOFFMAN ESTATES IL
60169-2050
US

V. Phone/Fax

Practice location:
  • Phone: 847-885-8852
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number036049454
License Number StateIL

VIII. Authorized Official

Name: SYLVIA LAM
Title or Position: PHYSICIAN
Credential: MD
Phone: 630-897-6851