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NPI Code Detail

MEDICARE: DR. CHENG H LIN

MEDICARE: DR. CHENG H LIN
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
1208D00000XGeneral Practice PhysicianIL

General Provider Information

NPI Number : 1316953763
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHENG H LIN
Provider Business Mailing Address
First Line : 9050 W 81ST ST
Second Line :
City : JUSTICE
State : IL
Zip : 60458-1350
Country : US
Telephone Number : 708-563-0666
Fax Number : 708-563-0851
Provider Business Practice Location Address
First Line : 9050 W 81ST ST
Second Line :
City : JUSTICE
State : IL
Zip : 60458-1350
Country : US
Telephone Number : 708-563-0666
Fax Number : 708-563-0851
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2006
Last Update Date : 07/08/2007

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Directions to “ DR. CHENG H LIN ” Practice Location

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