Provider Demographics
NPI:1093782849
Name:LIN, YI E (MD)
Entity Type:Individual
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First Name:YI
Middle Name:E
Last Name:LIN
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Gender:F
Credentials:MD
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Mailing Address - Street 1:2160 S 1ST AVE
Mailing Address - Street 2:MCGAW ENT., RM. 47
Mailing Address - City:MAYWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60153
Mailing Address - Country:US
Mailing Address - Phone:708-216-5221
Mailing Address - Fax:708-216-0899
Practice Address - Street 1:2160 S 1ST AVE
Practice Address - Street 2:MCGAW ENT., RM. 47
Practice Address - City:MAYWOOD
Practice Address - State:IL
Practice Address - Zip Code:60153
Practice Address - Country:US
Practice Address - Phone:708-216-5221
Practice Address - Fax:708-216-0899
Is Sole Proprietor?:No
Enumeration Date:2006-03-01
Last Update Date:2022-05-23
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Provider Licenses
StateLicense IDTaxonomies
IL0361061222085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology