Organization · Type 2 NPI

FGL Lerner MD Services Ltd

Adult Medicine Physician · Chicago, IL

NPI number 1417065087 Active

Practice location

2100 S Indiana Ave, Ste 111
Chicago, IL 60616-1381

Call (312) 842-3700 Map

Fax (312) 842-3702

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505XNone listed

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

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About NPI 1417065087

FGL Lerner MD Services Ltd's National Provider Identifier is 1417065087, issued on Aug 25, 2006. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Chicago, IL. The record was last updated on Aug 22, 2020.