Individual
DR. LINDA LAM
Active
Individual
DR. LINDA LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036104693
IL
207RP1001X
Pulmonary Disease Physician
Primary
036104693
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036104693
—
IL
01
—
1617373
BCBS OF IL
IL
01
—
206147
MEDICARE PTAN (GROUP)
IL
01
—
F400187409
MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
05/17/2006
Last updated
01/30/2015
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