Individual
DR. FRATERNO LEMUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
14532 JOHN HUMPHREY DR, ORLAND PARK, IL 60462-2640
(708) 460-5403
(708) 460-0670
Mailing address
14532 JOHN HUMPHREY DR, ORLAND PARK, IL 60462-2640
(708) 460-5403
(708) 460-0670
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036-054981
IL
2084N0600X
Clinical Neurophysiology Physician
036-054981
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036054981
—
IL
01
—
130023926
RAILROAD MEDICAREPALMETTO
IL
01
—
205923
UNITED HEALTH
IL
01
—
216-07098-34
BLUECROSSBLUESHIELD
IL
Enumeration date
06/13/2006
Last updated
06/11/2008
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