Individual
DR. BRUCE W. LINDGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 E CHICAGO AVE # 24, CHICAGO, IL 60611
(312) 227-4000
Mailing address
225 E CHICAGO AVE # 24, CHICAGO, IL 60611-2991
(312) 227-4000
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
036085394
IL
2088P0231X
Pediatric Urology Physician
Primary
036085394
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036085394
—
IL
Enumeration date
07/11/2006
Last updated
05/22/2020
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