Individual
J KEITH LEMMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3633 W LAKE AVE, SUITE 412, GLENVIEW, IL 60026-5805
(847) 657-6060
(847) 657-7070
Mailing address
3633 W LAKE AVE, SUITE 412, GLENVIEW, IL 60026-5805
(847) 657-6060
(847) 659-7070
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
036106306
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001636306
BLUE SHIELD BLUE CROSS
IL
05
—
036106306
—
IL
Enumeration date
08/25/2006
Last updated
01/30/2023
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