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NPI Code Detail

MEDICARE: ERIN LYNNE LYNCH

MEDICARE: ERIN LYNNE LYNCH
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
1207R00000XInternal Medicine Physician125059958IL
2208M00000XHospitalist Physician036134640IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1036134640OTHERILSTATE LICENSE

General Provider Information

NPI Number : 1336448638
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN LYNNE LYNCH
Provider Business Mailing Address
First Line : 800 W OAKTON ST
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-4602
Country : US
Telephone Number : 847-754-3170
Fax Number : 847-754-3171
Provider Business Practice Location Address
First Line : 800 W OAKTON ST
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-4602
Country : US
Telephone Number : 847-754-3170
Fax Number : 847-754-3171
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2011
Last Update Date : 10/12/2021

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