Individual
PROF. MARSHALL DAVID LINDHEIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5807 S DORCHESTER AVE, 5E, CHICAGO, IL 60637-1729
(773) 684-1049
(773) 702-5160
Mailing address
5807 S DORCHESTER AVE, 5E, CHICAGO, IL 60637-1729
(773) 684-1049
(773) 702-5160
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036043010
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036043010
STATE OF ILLINOIS LICENSE (PHYSICIAN NAD SURGEON
IL
Enumeration date
08/19/2013
Last updated
08/19/2013
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