Provider Demographics
NPI:1700071206
Name:MIN H. LIN, M.D. LTD.
Entity Type:Organization
Organization Name:MIN H. LIN, M.D. LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MIN
Authorized Official - Middle Name:H
Authorized Official - Last Name:LIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-546-8500
Mailing Address - Street 1:206 NIPPERSINK RD
Mailing Address - Street 2:
Mailing Address - City:ROUND LAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60073-3511
Mailing Address - Country:US
Mailing Address - Phone:847-546-8500
Mailing Address - Fax:847-546-4409
Practice Address - Street 1:206 NIPPERSINK RD
Practice Address - Street 2:
Practice Address - City:ROUND LAKE
Practice Address - State:IL
Practice Address - Zip Code:60073-3511
Practice Address - Country:US
Practice Address - Phone:847-546-8500
Practice Address - Fax:847-546-4409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-08
Last Update Date:2007-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL463680Medicare PIN