Individual
DR. HERMAN OSCAR LYLE JR.
Active
Individual
DR. HERMAN OSCAR LYLE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-054539
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036076429
BCBS
IL
05
—
036076429
—
IL
01
—
1275530230
RAIL ROAD MEDICARE
IL
Enumeration date
07/06/2005
Last updated
06/04/2008
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