Organization
TERRENCE T. LERNER, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRENCE T. LERNER M.D. (PRESIDENT OWNER)
(773) 767-7414
Entity
Organization
Contact information
Practice address
3000 N HALSTED ST, SUITE 625, CHICAGO, IL 60657-5188
(773) 767-7414
(773) 296-5009
Mailing address
777 OAKMONT LN, SUITE 1600, WESTMONT, IL 60559-5511
(630) 789-2550
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11041
ADVOCATE HLTH PARTNERS
IL
01
—
31601535
BCBS PROVIDER ID
IL
01
—
DE5854
RAIL ROAD MEDICARE
IL
Enumeration date
03/07/2007
Last updated
04/20/2008
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