Lynch, Teresa
Lynch, Teresa is an individual health care provider with primary practice located at 320 E Armstrong Ave , Peoria IL 61603-3172. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Lynch, Teresa can be contacted via phone (309) 624-9690.Contact Information
Primary practice address
320 E Armstrong Ave
Peoria IL 61603-3172
Phone: (309) 624-9690
Fax: (309) 624-9723
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036-111072 | Illinois |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036-111072 | Illinois |
Profile Details
| NPI number | 1104894906 |
|---|---|
| LBN Legal business name | Lynch, Teresa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2006 |
| Last updated | Sep 22nd, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104894906 | NPPES |
| Illinois | Other | 809840 | MEDICARE GROUP PTAN |
| Illinois | MEDICAID | 036111072 | MEDICARE GROUP PTAN |
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