Organization
J. KEITH LEMMON, M.D., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J KEITH LEMMON M.D. (PRESIDENT)
(847) 657-6060
Entity
Organization
Contact information
Practice address
3633 W LAKE AVE, SUITE 412, GLENVIEW, IL 60026-5805
(847) 657-6060
(847) 657-7070
Mailing address
3633 W LAKE AVE, SUITE 412, GLENVIEW, IL 60026-5805
(847) 657-6060
(847) 657-7070
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001636306
BLUE CROSS BLUE SHIELD
IL
Enumeration date
08/25/2006
Last updated
08/22/2020
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