Individual
DR. KANG-YANN LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1616 GRAND AVE, SUITE A, WAUKEGAN, IL 60085-3600
(847) 662-5050
(847) 782-5615
Mailing address
1616 GRAND AVE, SUITE A, WAUKEGAN, IL 60085-3600
(847) 662-5050
(847) 782-5615
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
36-49957
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036049957
—
IL
01
—
04900703
BLUE CROSS BLUE SHIELD
IL
Enumeration date
08/30/2005
Last updated
10/24/2014
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