Individual
DR. CHUANG-YUAN LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2650 RIDGE AVE., EMERGENCY MEDICINE, EVANSTON, IL 60201-1718
(847) 570-2114
(847) 570-1223
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700
(847) 982-6710
(847) 982-3394
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036134549
IL
207P00000X
Emergency Medicine Physician
125.058700
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125.058700
TEMPORARY MEDICAL LICENSE
IL
Enumeration date
07/15/2010
Last updated
03/02/2022
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