Henry Y Lin
HENRY Y LIN MD SC


Address: 746 W 79th St, Chicago, IL 60620-2424
Phone: 7739946303

Henry Y Lin (NPI# 1356387559, PAC ID# 5395842736) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.

Physician Overview

Nation Provider ID (NPI) 1356387559
PAC ID by PECOS 5395842736
Professional Enrollment ID I20070521000285
Full Name Henry Y Lin
Organization Legal Name HENRY Y LIN MD SC
Address 746 W 79th St
Chicago
IL 60620-2424
Phone Number 7739946303
Gender M
Credential MD
Graduation Year 1967
Primary Specialty GENERAL PRACTICE
Group Practice PAC ID 2567569908
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
140103 ST BERNARD HOSPITAL

Other Locations

Address Phone Organization
746 W 79th St, Chicago, IL 60620-2424 7739946303 HENRY Y LIN MD SC

Organization Information

Organization Legal Name HENRY Y LIN MD SC
Physicians 1

Office Location

Street Address 746 W 79TH ST
City CHICAGO
State IL
Zip 60620-2424

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Competitor

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City CHICAGO
Zip Code 60620
Specialty GENERAL PRACTICE
City + Specialty CHICAGO + GENERAL PRACTICE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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