Organization
IRA M LERNER, M.D.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRA M LERNER M.D. (PRESIDENT)
(773) 665-3470
Entity
Organization
Contact information
Practice address
2520 N LAKEVIEW AVE, CHICAGO, IL 60614-2255
(773) 665-3470
Mailing address
PO BOX 2086, NORTHBROOK, IL 60065-2086
(847) 676-0091
(847) 676-2374
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31602068
BLUE CROSS BLUE SHIELD
IL
Enumeration date
03/15/2006
Last updated
08/22/2020
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