Individual
MILENA J. LYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1801 W TAYLOR ST, SUITE 3E, CHICAGO, IL 60612-4319
(312) 996-8666
Mailing address
808 S. WOOD STREET ROOM 380, CHICAGO, IL 60612
(312) 996-6966
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036097128
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104357509
—
IL
Enumeration date
05/31/2007
Last updated
10/29/2018
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