Provider Demographics
NPI:1487631529
Name:ING-ING LAM MD
Entity Type:Organization
Organization Name:ING-ING LAM MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ING
Authorized Official - Middle Name:
Authorized Official - Last Name:LAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:708-226-0661
Mailing Address - Street 1:9611 165TH ST
Mailing Address - Street 2:SUITE 13
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60467-5654
Mailing Address - Country:US
Mailing Address - Phone:708-226-0661
Mailing Address - Fax:708-226-0669
Practice Address - Street 1:9611 165TH ST
Practice Address - Street 2:SUITE 13
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60467-5654
Practice Address - Country:US
Practice Address - Phone:708-226-0661
Practice Address - Fax:708-226-0669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-29
Last Update Date:2015-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0360830082084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
F21605Medicare UPIN
L97998Medicare ID - Type Unspecified