Individual
DR. AI PHAN LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
675 N SAINT CLAIR ST, GALTER PAVILION #18-250, CHICAGO, IL 60611-5975
(312) 695-1800
Mailing address
680 N LAKE SHORE DR, SUITE 1000, CHICAGO, IL 60611-4546
(312) 695-9797
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
036-109456
IL
Other
Enumeration date
04/12/2007
Last updated
05/23/2017
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