MEDICARE: JAMES A LENGEMANN 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	207R00000X	Internal Medicine Physician	036096442	IL

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	2221474	OTHER	IL	BCBS

General Provider Information

NPI Number	:	1447247572
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES A LENGEMANN MD

Provider Business Mailing Address
First Line	:	1331 W 75TH ST STE 201
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60540-9311
Country	:	US
Telephone Number	:	630-527-5000
Fax Number	:	630-527-5440

Provider Business Practice Location Address
First Line	:	1331 W 75TH ST STE 201
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60540-9311
Country	:	US
Telephone Number	:	630-527-5000
Fax Number	:	630-527-5440

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

Provider Enumeration Date	:	10/04/2005
Last Update Date	:	03/05/2021

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Directions to “ JAMES A LENGEMANN MD” Practice Location

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