Individual
DR. JOHN H LYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1550 N NORTHWEST HWY, SUITE 220, PARK RIDGE, IL 60068-1411
(847) 824-3198
(847) 824-1291
Mailing address
1550 N NORTHWEST HWY, SUITE 220, PARK RIDGE, IL 60068-1411
(847) 298-7024
(847) 298-7155
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036096443
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036096443
—
IL
01
—
201217
PTAN LOCALITY 15
IL
Enumeration date
09/24/2006
Last updated
04/05/2010
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