Provider Demographics
NPI:1376570721
Name:LEMON, MAURICE RAYMOND (MD)
Entity Type:Individual
Prefix:DR
First Name:MAURICE
Middle Name:RAYMOND
Last Name:LEMON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1333 GREENWOOD ST
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-4112
Mailing Address - Country:US
Mailing Address - Phone:847-869-8689
Mailing Address - Fax:312-864-9200
Practice Address - Street 1:JOHN H. STROGER HOSPITAL OF COOK COUNTY
Practice Address - Street 2:1901 W. HARRISON ST.
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3714
Practice Address - Country:US
Practice Address - Phone:312-864-5100
Practice Address - Fax:312-864-9200
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2010-09-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL36068455207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine