Individual
LYDIA ANDREA BREEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
211 E ONTARIO ST, SUITE #1195, CHICAGO, IL 60611
(773) 381-3421
(312) 988-9363
Mailing address
1037 W NORTHSHORE AVE, #3N, CHICAGO, IL 60626
(773) 381-3420
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1633712
BLUE CROSS BLUE SHIELD
IL
Enumeration date
03/21/2006
Last updated
07/08/2007
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