MEDICARE: DR. JEFFREY W LERCH 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	036050848	IL
2	207VX0000X	Obstetrics Physician	54280	KY

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

General Provider Information

NPI Number	:	1124078795
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY W LERCH MD

Provider Business Mailing Address
First Line	:	4219 RIDGELAND LN
Second Line	:
City	:	NORTHBROOK
State	:	IL
Zip	:	60062-4936
Country	:	US
Telephone Number	:	847-275-7419
Fax Number	:

Provider Business Practice Location Address
First Line	:	9230 BROADWAY AVE
Second Line	:
City	:	BROOKFIELD
State	:	IL
Zip	:	60513-1252
Country	:	US
Telephone Number	:	708-387-1109
Fax Number	:	708-387-9649

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

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	03/02/2026

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