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NPI Code Detail

MEDICARE: JEFFREY A LINDAHL MD

MEDICARE: JEFFREY A LINDAHL 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
1207R00000XInternal Medicine Physician036076396IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
101615768OTHERILBCBS OF IL

General Provider Information

NPI Number : 1477550887
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY A LINDAHL MD
Provider Business Mailing Address
First Line : 1430 N ARLINGTON HEIGHTS RD
Second Line : SUITE 105
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-4830
Country : US
Telephone Number : 847-255-0800
Fax Number : 847-255-8054
Provider Business Practice Location Address
First Line : 1430 N ARLINGTON HEIGHTS RD
Second Line : SUITE 105
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-4830
Country : US
Telephone Number : 847-255-0800
Fax Number : 847-255-8054
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2005
Last Update Date : 04/09/2021

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Directions to “ JEFFREY A LINDAHL MD” Practice Location

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