Provider Demographics
NPI:1952409559
Name:DR LIN AND ASSOCIATES S C
Entity type:Organization
Organization Name:DR LIN AND ASSOCIATES S C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MALI
Authorized Official - Middle Name:
Authorized Official - Last Name:LIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-832-6711
Mailing Address - Street 1:386 N YORK ST
Mailing Address - Street 2:STE 201
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-2363
Mailing Address - Country:US
Mailing Address - Phone:630-832-6711
Mailing Address - Fax:630-832-6855
Practice Address - Street 1:386 N YORK ST
Practice Address - Street 2:STE 201
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-2363
Practice Address - Country:US
Practice Address - Phone:630-832-6711
Practice Address - Fax:630-832-6855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2009-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-057961207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036057961Medicaid
IL210201OtherMEDICARE
IL02201203OtherBLUE CROSS
ILCI8071OtherRAILROAD MEDICARE