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Individual

TERESA LYNCH

Active
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Individual

TERESA LYNCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-111072
IL
208000000X
Pediatrics Physician
036-111072
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036111072
IL
01
809840
MEDICARE GROUP PTAN
IL
Enumeration date
03/09/2006
Last updated
09/22/2008
About Stedi
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