Lam, Wilfred

Lam, Wilfred is an individual health care provider with primary practice located at 747 N Rutledge St 4Th Floor, Springfield IL 62702-6700. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Lam, Wilfred can be contacted via phone (217) 788-0706.

Contact Information

Primary practice address
747 N Rutledge St 4Th Floor Springfield IL 62702-6700
Phone: (217) 788-0706
Fax: (217) 788-7032
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036-057135 Illinois
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036057135 Illinois

Profile Details

NPI number 1750463949
LBN Legal business name Lam, Wilfred
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Nov 30th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750463949 NPPES
Illinois MEDICAID 036057135
Illinois Other 060040344

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