Individual
DR. JEREMIAH LYNCH DORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4646 N MARINE DR, CHICAGO, IL 60640-5759
(773) 564-5225
Mailing address
4646 N MARINE DR, CHICAGO, IL 60640-5759
(773) 564-5225
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125081055
IL
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
036173575
IL
Other
Enumeration date
07/06/2022
Last updated
06/03/2025
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