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Individual

DR. MALI LIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
386 N YORK RD, SUITE 201, ELMHURST, IL 60126-2367
(630) 832-6711
(630) 832-6855
Mailing address
386 N YORK ROAD, SUITE 201, ELMHURST, IL 60126-2367
(630) 832-6711
(630) 832-6855

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036057961
IL
207VG0400X
Gynecology Physician
036-057961
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02201203
BLUE CROSS
IL
05
036057961
IL
Enumeration date
09/20/2006
Last updated
07/02/2009
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