Individual
JACK CHI LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1425 N RANDALL RD, ELGIN, IL 60123-2300
(847) 742-9800
Mailing address
1 TAMPA GENERAL CIR, SUITE A327, TAMPA, FL 33606-3571
(813) 844-4434
(813) 844-4972
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101242067
VA
207L00000X
Anesthesiology Physician
Primary
036-158862
IL
207L00000X
Anesthesiology Physician
218742
MA
207L00000X
Anesthesiology Physician
ME124687
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022709F89
MEDICARE
DC
05
—
1194793471
—
VA
Enumeration date
03/10/2006
Last updated
10/16/2023
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