Individual
JOSHUA LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3 ERIE CT STE L700, OAK PARK, IL 60302-2519
(708) 763-1222
(708) 763-1471
Mailing address
1105 ANDOVER DR, MUNDELEIN, IL 60060-5503
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/22/2020
Last updated
04/13/2021
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