Individual
RONALD LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 BERTEAU AVE, ELMHURST, IL 60126-2966
(630) 834-0610
Mailing address
PO BOX 3680, PEORIA, IL 61612-3680
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360634934
—
IL
Enumeration date
05/17/2006
Last updated
07/12/2007
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