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Contact Information

JOHNNY L LIN, MD
1611 W HARRISON ST # 400
CHICAGO, IL60612-4861
 Phone: 312-243-4244
 Fax: 312-942-1517
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Foot and Ankle Surgery

207XX0004X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JOHNNY L LIN · (Male)

NPI Number 1447206677
Status Active
Credentials MD
Entity Individual
Enumeration date 05/26/2006
Last updated 04/02/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036115264
  • IL Medicaid 036115264 1
  • IL Other 7686873 AETNA
  • IL Other 207073 MEDICARE PTAN NUMBER LOCALITY #15
  • IL Other 207067 MEDICARE PTAN NUMBER LOCALITY #16
  • IL Other P00381332 RR MEDICARE PROVIDER NUMBER
  • IL Other DA4902 RR MEDICARE PTAN NUMBER
Hospital affiliation(s)
  • RUSH UNIVERSITY MEDICAL CENTER - (Acute Care)
    1653 WEST CONGRESS PARKWAY
    CHICAGO, IL 60612
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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