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Organization
LINCOLN SQUARE MEDICAL ASSOCIATES, LTD.
Active
Organization
LINCOLN SQUARE MEDICAL ASSOCIATES, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLGA ZUK MD (PRESIDENT)
(773) 385-6529
Entity
Organization
Contact information
Practice address
5140 N CALIFORNIA AVE, SUITE 115, CHICAGO, IL 60625-3645
(773) 989-3803
(773) 878-5726
Mailing address
6923 W SHAKESPEARE AVE, #2, CHICAGO, IL 60707-3355
(773) 385-6529
(773) 385-6673
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036070498
—
IL
01
—
K36740
MEDICARE PROVIDER ID
IL
Enumeration date
02/20/2007
Last updated
05/24/2011
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