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Individual

JUSTIN LAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O

Contact information

Practice address
1875 W DEMPSTER ST, SUITE 470, PARK RIDGE, IL 60068-1186
(847) 795-5865
Mailing address
1875 W DEMPSTER ST, SUITE 470, PARK RIDGE, IL 60068-1186
(847) 795-5865

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
125.068859
IL

Other

Enumeration date
03/23/2016
Last updated
06/20/2016
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