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Individual

ARCHIE LIM ONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1000 N WESTMORELAND RD, LAKE FOREST, IL 60045-1658
(847) 535-8500
(847) 535-8499
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700
(847) 570-2040

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
036130337
IL
2084V0102X
Vascular Neurology Physician
Primary
036130377
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036130377
STATE LICENSE
IL
Enumeration date
07/15/2008
Last updated
11/22/2023
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