MEDICARE: STEVEN LAMMERS, MD, PC

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	2084P0800X	Psychiatry Physician	036075721	IL

General Provider Information

NPI Number	:	1750647160
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEVEN LAMMERS, MD, PC

Provider Business Mailing Address
First Line	:	977 LAKEVIEW PARKWAY
Second Line	:	SUITE 102
City	:	VERNON HILLS
State	:	IL
Zip	:	60061-1444
Country	:	US
Telephone Number	:	847-549-1023
Fax Number	:	847-549-1028

Provider Business Practice Location Address
First Line	:	977 LAKEVIEW PARKWAY
Second Line	:	SUITE 102
City	:	VERNON HILLS
State	:	IL
Zip	:	60061-1444
Country	:	US
Telephone Number	:	847-549-1023
Fax Number	:	847-549-1028

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	MR. STEVEN PAUL LAMMERS
Credential	:	MD
Telephone Number	:	847-549-1023

Provider Enumeration Date	:	04/10/2012
Last Update Date	:	04/10/2012

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