Individual
GERALD E LYNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 LAKE ST, STE 230, OAK PARK, IL 60301
(331) 221-9004
(331) 221-2748
Mailing address
4201 WINFIELD RD FL 4, WARRENVILLE, IL 60555-4025
(331) 221-6377
(331) 221-2357
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036.094118
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036094118
—
IL
01
—
21604882
BLUE CROSS BLUE SHIELD
IL
Enumeration date
06/16/2005
Last updated
06/14/2021
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