Provider Demographics
NPI:1750365482
Name:LAM, ING-ING (MD)
Entity type:Individual
Prefix:DR
First Name:ING-ING
Middle Name:
Last Name:LAM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-06
Last Update Date:2015-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL360830082084P0800X
IL0360830082084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
F21605Medicare UPIN
ILL94998Medicare ID - Type Unspecified