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Organization
C RONALD LINDBERG MD SC
Active
Organization
C RONALD LINDBERG MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. C RONALD LINDBERG M D (PRESIDENT)
(708) 579-3090
Entity
Organization
Contact information
Practice address
6463 GARFIELD RIDGE CT, BURR RIDGE, IL 60527-5285
(708) 579-3090
(708) 579-3094
Mailing address
6463 GARFIELD RIDGE CT, BURR RIDGE, IL 60527-5285
(708) 579-3090
(708) 579-3094
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021609698
BLUE CROSS BLUE SHIELD
IL
05
—
036055534
—
IL
01
—
L020526
CHAMPUS
IL
Enumeration date
09/28/2006
Last updated
02/21/2016
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