# IRA M LERNER, M.D.S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154390805
- **Authorized official:** IRA M LERNER M.D. (PRESIDENT)
- **Authorized official phone:** (773) 665-3470

## Contact information

- **Practice address:** 2520 N LAKEVIEW AVE, CHICAGO, IL 60614-2255
- **Practice address phone:** (773) 665-3470
- **Mailing address:** PO BOX 2086, NORTHBROOK, IL 60065-2086
- **Mailing address phone:** (847) 676-0091
- **Mailing address fax:** (847) 676-2374

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | IL | Yes |

## Other

- **Enumeration date:** 03/15/2006
- **Last updated:** 08/22/2020