Lynch, Gerald E

Lynch, Gerald E is an individual health care provider with primary practice located at 1100 Lake St Ste 230, Oak Park IL 60301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Lynch, Gerald E can be contacted via phone (331) 221-9004.

Contact Information

Primary practice address
1100 Lake St Ste 230 Oak Park IL 60301
Phone: (331) 221-9004
Fax: (331) 221-2748
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036.094118 Illinois

Profile Details

NPI number 1740285733
LBN Legal business name Lynch, Gerald E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Jun 14th, 2021 - about 4 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 1740285733 NPPES
Illinois MEDICAID 036094118
Illinois Other 21604882

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