Individual
DR. JEREMIAH LAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2964 COMMERCE DR, MCHENRY, IL 60051-5409
(815) 363-0103
Mailing address
1105 ANDOVER DR, MUNDELEIN, IL 60060-5503
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.035099
IL
Other
Enumeration date
05/23/2024
Last updated
07/11/2024
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