Provider Demographics
NPI:1265499438
Name:BELSKY, LYNNE C (MD)
Entity Type:Individual
Prefix:DR
First Name:LYNNE
Middle Name:C
Last Name:BELSKY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1535 LAKE COOK RD
Mailing Address - Street 2:SUITE 306
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-1447
Mailing Address - Country:US
Mailing Address - Phone:847-418-2030
Mailing Address - Fax:847-564-5250
Practice Address - Street 1:1535 LAKE COOK RD
Practice Address - Street 2:SUITE 306
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-1447
Practice Address - Country:US
Practice Address - Phone:847-418-2030
Practice Address - Fax:847-564-5250
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-29
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036-107233207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILC11108Medicare UPIN