Individual
DR. LAXMAN S IYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
215 E 1ST ST,, STE 214, DIXON, IL 61021
(815) 285-5815
(815) 285-5816
Mailing address
215 E 1ST ST,, STE 212, DIXON, IL 61021
(815) 285-5815
(815) 285-5816
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036-052760
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036052760
—
IL
01
—
L82360
MEDICARE
IL
Enumeration date
02/27/2006
Last updated
08/22/2018
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